Chronic Obstructive Pulmonary Disease is an independent risk factor for postoperative complications following Operative Treatment of Distal Radius Fracture

Authors

  • Nabi Rahman Department of Pulmonology, Bacha Khan Medical College, Mardan Medical Complex, Mardan - Pakistan
  • Muhammad Saqib Department of Orthopedic, Gajju Khan Medical College, Bacha Khan Medical Complex, Swabi - Pakistan
  • Manzoor Hussain Department of Medicine, Medical Teaching Institute, Mardan Medical Complex, Mardan - Pakistan
  • Tariq Ahmad Department of Orthopaedic Surgery, Medical Teaching Institute, Mardan Medical Complex, Mardan - Pakistan
  • Muhammad Khurram Zia Department of Surgery, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital, Karachi - Pakistan
  • Fatima Saadat Department of Physiology, Peshawar Medical College, Peshawar - Pakistan

Keywords:

Fracture, Distal radius, Postoperative, Complications, COPD.

Abstract

Background: A distal radius fracture is the most common kind of fracture in the upper extremity. Numerous pulmonary, cardiac, cerebrovascular, and, co-morbidities are associated with a history of Chronic Obstructive Pulmonary Disease (COPD). Objective: To explore the correlation between COPD and postoperative complications in patients undergoing surgery for distal radius fracture Methodology: The current study was conducted at the Orthopaedic Surgery Department, Bacha Khan Medical College, Mardan Medical Complex, Mardan, from January 2020 to January 2021. Those individuals who had done ORIF for DRF were enrolled. This research created two patient groups to assess the effect of COPD on consequences after ORIF for DRF. Thirty days postoperative complications were assessed in this analysis, and bivariate and multivariate analyses were performed. Results: A total of 12,426 individuals who had done ORIF for DRF were included in the analysis in the current study. Out of which 11,958 patients (96.23%) had no COPD whereas 468 (3.77%) were COPD positive.  Comorbidities were substantially more common in COPD patients who had ORIF for a DRF than in non-COPD patients. After undergoing surgery to cure a distal radius fracture, bivariate analysis revealed that patients with COPD had a higher chance of experiencing any complications following the procedure within 30 days. Conclusion: This study evaluated that for individuals getting distal radius fracture, Chronic obstructive pulmonary disease is an independent risk factor that increases the likelihood of experiencing various post-surgical complications, including the need for blood transfusions, longer hospital stays, and readmissions to the hospital.

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Published

2021-12-02

How to Cite

Rahman, N., Saqib, M., Hussain, M., Ahmad, T., Khurram Zia, M., & Saadat, F. (2021). Chronic Obstructive Pulmonary Disease is an independent risk factor for postoperative complications following Operative Treatment of Distal Radius Fracture. Pakistan Journal of Chest Medicine, 27(4), 338–343. Retrieved from http://www.pjcm.net/index.php/pjcm/article/view/775

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