Journal article
Utility of Recovery Room vs Post-Operative Day 1 Radiographs Following Shoulder Arthroplasty
The Iowa orthopaedic journal, Vol.44(1), pp.99-103
01/01/2024
PMCID: PMC11195874
PMID: 38919361
Appears in Diamond Open Access
Abstract
Background: Postoperative radiographs may be performed on different timelines after shoulder arthroplasty. Radiographs obtained in the post-operative recovery unit (PACU) are often of poorer quality. The purpose of the current study was to explore and compare the quality of PACU radiographs and radiographs performed in the radiology suite on post-operative Day 1 (POD1), as well as determine their impact on changes in post-operative management.
Methods: Our series included 50 consecutive anatomic total shoulder arthroplasties (TSA) for which post-operative radiographs were obtained in the PACU and 50 consecutive TSA for which post-operative radiographs were obtained in the radiology suite on POD 1. TSA radiographs were blinded and reviewed by 3 authors and graded on their quality using criteria described using previously published methods. The weighted kappa was used to describe the intra-rater agreement and inter-rater agreement between two raters.
Results: There was no difference in age, sex, BMI, and comorbidities between cohorts. Intra-observer reliability was moderate to substantial with weighted kappa values of 0.65±0.07 (p<0.001), 0.58±0.09 (p<0.001), and 0.67±0.07 (p<0.001). Inter-observer reliability was moderate to substantial with weighted kappa values of 0.605±0.07 (p<0.001), 0.66±0.07 (p<0.001), and 0.65±0.08 (p<0.001). When assessing quality of radiographs, 30% of radiographs obtained in PACU were deemed quality while 57% of radiographs obtained in the radiology suite were deemed quality (p<0.001).
Conclusion: Post-operative radiographs in the PACU do not alter patient management and are often inadequate to serve as baseline radiographs. Conversely, radiographs obtained in the radiology suite are of higher quality and can serve as a superior baseline radiograph.
Details
- Title: Subtitle
- Utility of Recovery Room vs Post-Operative Day 1 Radiographs Following Shoulder Arthroplasty
- Creators
- Taylor Den Hartog - University of Iowa, Orthopedics and RehabilitationMaria Bozoghlian - University of IowaGarrett Christensen - University of IowaDaniel Meeker - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAJames V. Nepola - University of IowaBrendan M. Patterson - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.44(1), pp.99-103
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 38919361
- PMCID
- PMC11195874
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 01/01/2024
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984648155102771
Metrics
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