{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:02:26Z","timestamp":1790226146957,"version":"4.1.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Physiol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early functional recovery after arthroscopic rotator cuff repair (ARCR) varies substantially among patients. Although surgical characteristics and rehabilitation strategies have been widely investigated, few studies have examined patient-level early postoperative nursing workload as an integrated indicator of care complexity after ARCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center retrospective cohort study included 202 patients who underwent unilateral ARCR between January 2022 and December 2024. Patient-level nursing workload within the first 48 hours postoperatively (NWI-48h) was quantified using structured nursing records. The primary outcome was the American Shoulder and Elbow Surgeons (ASES) score at 3 months. Multivariable linear regression and logistic regression analyses were performed with progressive adjustment for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher NWI-48h was associated with lower ASES scores at 3 months. In the fully adjusted model, each 1-SD increase in NWI-48h was associated with a 4.21-point decrease in ASES score (95% CI, \u22127.04 to \u22121.38; P\u00a0=\u00a00.004). Patients in the high-workload group had lower 3-month ASES scores than those in the low-workload group, with a graded association across workload tertiles. For unplanned healthcare visits or hospital readmissions, adjusted estimates were imprecise, with wide confidence intervals, and should be regarded as hypothesis-generating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher early postoperative patient-level nursing workload was associated with poorer short-term functional recovery after unilateral ARCR. NWI-48h may serve as a candidate indicator of early postoperative care complexity that warrants prospective validation before clinical application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fphys.2026.1862390","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:34:13Z","timestamp":1790224453000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between in-hospital nursing workload and early functional recovery after unilateral arthroscopic rotator cuff repair: a retrospective cohort study"],"prefix":"10.3389","volume":"17","author":[{"given":"Jiajie","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yali","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuiwen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Teng","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiamin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, The First Affiliated Hospital of Jinan University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Xinfeng County People\u2019s Hospital","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meili","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Xinfeng County People\u2019s Hospital","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, The First Affiliated Hospital of Jinan University, Guangzhou Key Laboratory of Precision Orthopedics and Regenerative Medicine, Guangdong Key Laboratory of Speed Ability Research","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haobo","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Huizhou First Hospital, Guangdong Medical University","place":["Huizhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuyan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Xinfeng County People\u2019s Hospital","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-024-00492-3","article-title":"Rotator cuff tears","volume":"10","author":"Bedi","year":"2024","journal-title":"Nat. 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Shoulder Elbow Surg."},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-08608-w","article-title":"Patient-specific risk factors for repair failure and poor functional outcome after rotator cuff repair - an umbrella review","volume":"27","author":"Su\u00dfiek","year":"2026","journal-title":"BMC Musculoskelet. Disord."},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118763107","article-title":"Does the rotator cuff tear pattern influence clinical outcomes after surgical repair","volume":"6","author":"Watson","year":"2018","journal-title":"Orthop. J. Sports Med."},{"key":"B16","doi-asserted-by":"publisher","first-page":"2660","DOI":"10.1016\/j.jse.2021.05.010","article-title":"Risk factors affecting rotator cuff retear after arthroscopic repair: a meta-analysis and systematic review","volume":"30","author":"Zhao","year":"2021","journal-title":"J. Shoulder Elbow Surg."}],"container-title":["Frontiers in Physiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphys.2026.1862390\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:34:33Z","timestamp":1790224473000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphys.2026.1862390\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":16,"alternative-id":["10.3389\/fphys.2026.1862390"],"URL":"https:\/\/doi.org\/10.3389\/fphys.2026.1862390","relation":{},"ISSN":["1664-042X"],"issn-type":[{"value":"1664-042X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"1862390"}}