The “ July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?

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Tobert Daniel G.; Menendez Mariano E.; Ring David C.; Chen Neal C.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2018 | Volume:6 | Issue:4 Page(s): 277-281

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Title

The “ July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?

Author(s)

Tobert Daniel G. | Menendez Mariano E. | Ring David C. | Chen Neal C. | Issue Writer Certificate

Keywords

Complications

July effect

Nationwide inpatient sample

Resident education

Shoulder arthroplasty

Teaching hospitals

Abstract

Background: The ” July effect” is a colloquialism asserting an increased rate of errors at the start of the academic year in Teaching hospitals. This retrospective population-based study evaluated for the presence of the July effect in performing Shoulder arthroplasty. Methods: Using the Nationwide inpatient sample for 2002 through 2011, a total of 178, 590 patients undergoing Shoulder arthroplasty at academic medical centers were identified and separated into 2 groups: 1) patients admitted during July and 2) patients admitted between August and June. Multivariable logistic regression was used to identify associations with inpatient mortality and adverse events, blood transfusion, prolonged length of stay (>75th percentile) and non-routine discharge. Results: After adjusting for patient, procedure, and hospital characteristics in multivariable modeling, admission in July was not associated with increased risk for inpatient mortality (OR 1. 6) aggregate morbidity, blood transfusion, prolonged length of stay, and non-routine discharge. Conclusion: This nationwide database analysis shows that Shoulder arthroplasty at academic medical centers is not associated with increased perioperative morbidity and resource utilization during the month of July.

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APA: Copy

Tobert, Daniel G., Menendez, Mariano E., Ring, David C., & Chen, Neal C.. (2018). The “ July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?. THE ARCHIVES OF BONE AND JOINT SURGERY, 6(4), 277-281. SID. https://sid.ir/paper/350133/en

Vancouver: Copy

Tobert Daniel G., Menendez Mariano E., Ring David C., Chen Neal C.. The “ July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2018;6(4):277-281. Available from: https://sid.ir/paper/350133/en

IEEE: Copy

Daniel G. Tobert, Mariano E. Menendez, David C. Ring, and Neal C. Chen, “The “ July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 6, no. 4, pp. 277–281, 2018, [Online]. Available: https://sid.ir/paper/350133/en

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