{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:54:37Z","timestamp":1763600077542,"version":"3.37.3"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003While previous studies have investigated the association between bleeding disorders and outcomes with hip or knee surgeries, no studies have investigated the association between bleeding disorders and outcomes in upper extremity surgery.<\/jats:p><jats:p>\n          Questions\/Purposes\u2003The purpose of this study was to investigate if a past history of bleeding disorders is associated with which, if any postoperative complications for patients receiving distal radius fracture open reduction internal fixation.<\/jats:p><jats:p>\n          Patients and Methods\u2003Patients undergoing operative treatment for distal radius fracture from 2007 to 2018 were identified in the National Surgical Quality Improvement Program database. Patients were stratified into two cohorts: patients with a bleeding disorder and patients without a bleeding disorder. In this analysis, 30-day postoperative complications were assessed, as well as mortality, extended length of stay, reoperation, and readmission. Bivariate and multivariate analyses were performed.<\/jats:p><jats:p>\n          Results\u2003Of the 16,489 total patients undergoing operative treatment for distal radius fracture, 16,047 patients (97.3%) did not have a bleeding disorder, whereas 442 (2.7%) had a bleeding disorder. Following adjustment on multivariate analyses, an increased risk of postoperative transfusion requirement (odds ratio [OR] 17.437; p\u2009=\u20090.001), extended length of hospital stay more than 3 days (OR 1.564; p\u2009=\u20090.038), and readmission (OR 2.515; p\u2009&lt;\u20090.001) were seen in patients with a bleeding disorder compared to those without a bleeding disorder.<\/jats:p><jats:p>\n          Conclusion\u2003History of bleeding disorders is an independent risk factor for transfusions, extended length of stay, and readmission. We recommend a multidisciplinary team approach to addressing bleeding disorders before patients receive distal radius fracture open reduction internal fixation.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level III, retrospective study.<\/jats:p>","DOI":"10.1055\/s-0043-1761295","type":"journal-article","created":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T00:01:15Z","timestamp":1674864075000},"page":"493-499","source":"Crossref","is-referenced-by-count":2,"title":["The Association between Bleeding Disorders and Postoperative Complications Following Operative Treatment of Distal Radius Fracture"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8730-0804","authenticated-orcid":false,"given":"Theodore","family":"Quan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank R.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hospital of the University of Pennsylvania, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph E.","family":"Manzi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lea","family":"Mcdaniel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caillin","family":"Marquardt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Ranson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Tabaie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Children's National Health System, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,1,27]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1302\/0301-620X.101B9.BJJ-2018-1096.R1","article-title":"Tranexamic acid or epsilon-aminocaproic acid in total joint arthroplasty? 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