International Journal of General Medicine (Oct 2023)

The Value of Preoperative Systemic Immune-Inflammation Index as a Predictor of Prolonged Hospital Stay in Orthopedic Surgery: A Retrospective Study

  • Alsabani MH,
  • Alotaibi BA,
  • Olayan LH,
  • Alghamdi AS,
  • Alshammasi MA,
  • Alqasir BA,
  • Alrashidi SM,
  • Alshugair MS,
  • Al Harbi MK

Journal volume & issue
Vol. Volume 16
pp. 4773 – 4782

Abstract

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Mohmad H Alsabani,1,2 Badi A Alotaibi,2,3 Lafi H Olayan,1,2 Abdulrhman S Alghamdi,2,4 Malik A Alshammasi,1 Bassam Abdulrahman Alqasir,1 Salman Madyan Alrashidi,1 Majed Saad Alshugair,1 Mohammed K Al Harbi2,5,6 1Anesthesia Technology Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia; 3Clinical Laboratory Sciences Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 4Emergency Medical Services Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 5Department of Anesthesia, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; 6College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaCorrespondence: Mohmad H Alsabani, Anesthesia Technology Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, 11481, Saudi Arabia, Tel +966114298206, Email [email protected]: Many risk factors, such as the duration of surgery and higher ASA scores, are associated with longer hospitalization in patients undergoing orthopedic surgery. However, no studies have evaluated the relationship between the preoperative systemic immune-inflammation index (SII) and length of hospital stay in orthopedic surgical patients. Therefore, this study aimed to investigate whether the SII is associated with the length of hospital stay in orthopedic surgery in adults.Patients and Methods: This was a retrospective cohort study, and data were extracted from electronic health records. Patients were included if they were older than 18 years and had undergone orthopedic surgery between [2016– 2021]. The patients were divided into two groups according to the median duration of hospitalization and according to SII cut-off value (high-SII group: ≥ 799.86, low-SII group: 21 days. There were significant differences in terms of ASA score (P = 0.041). Patients who required a longer hospitalization of > 21 days had significantly lower hemoglobin level (P

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