Preoperative hyponatremia is an independent risk factor for postoperative complications in aseptic revision hip and knee arthroplasty

被引：13

作者：

Gu, Alex ^{[1
,2
]}

Chen, Frank R. ^{[3
]}

Chen, Aaron Z. ^{[3
]}

Fassihi, Safa C. ^{[2
]}

Thakkar, Savyasachi ^{[4
]}

Unger, Anthony S. ^{[5
]}

Liu, Jiabin ^{[6
]}

Sculco, Peter K. ^{[1
]}

Ast, Michael P. ^{[7
]}

机构：

[1] Hosp Special Surg, Dept Orthopaed Surg, Complex Joint Reconstruct Ctr, 535 E 70th St, New York, NY 10021 USA

[2] George Washington Univ, Dept Orthopaed Surg, Sch Med, 2300 1 St NW, Washington, DC 20052 USA

[3] Weill Cornell Med Coll, 1300 York Ave, New York, NY 10065 USA

[4] Washington Hosp Ctr, Dept Orthopaed Surg, MedStar Georgetown Orthopaed Inst, 110 Irving St NW, Washington, DC 20010 USA

[5] Sibley Mem Hosp, Gildenhorn Inst Bone & Joint Hlth, 5255 Loughboro Rd NW, Washington, DC 20016 USA

[6] Hosp Special Surg, Dept Anesthesiol, 535 East 70th St, New York, NY 10021 USA

[7] Hosp Special Surg, Dept Orthopaed Surg, Adult Reconstruct & Joint Replacement Div, 535 E 70th St, New York, NY 10021 USA

来源：

JOURNAL OF ORTHOPAEDICS | 2020年 / 20卷

关键词：

Hyponatremia; Revision knee arthroplasty; Revision hip arthroplasty; Hip; Knee; Postoperative complications; PREVALENCE; MORTALITY; MORBIDITY; OUTCOMES; SURGERY;

D O I：

10.1016/j.jor.2020.01.028

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: The purpose of this study is to investigate the relationship between preoperative hyponatremia and postoperative complications in aseptic revision hip and knee arthroplasty. Methods: Aseptic revision arthroplasties from 2007 to 2016 were collected using a large, United States database. Patients were stratified into eunatremic and hyponatremic cohorts. Rates of complications were collected and analyzed. Results: 25,517 surgeries were evaluated. Preoperative hyponatremia was independently associated with organ/space infections (OR= 2.316; p < 0.001), postoperative blood transfusions (OR= 1.467; p < 0.001), pneumonia (OR= 2.05; p =0.002), sepsis (OR= 2.533; p < 0.001), extended length-of-stay (OR= 2.221; p < 0.001), minor complications (OR= 1.549; p < 0.001), wound complications (OR= 1.505; p = 0.001), pulmonary complications (OR= 1.72; p =0.007), and sepsis complications (OR= 2.305; p < 0.001). Conclusion: Hyponatremia is an independent risk factor for several postoperative complications in aseptic revision hip and knee arthroplasty.

引用

页码：224 / 227

页数：4