Patient Reported Allergies Are a Risk Factor for Poor Outcomes in Total Hip and Knee Arthroplasty

被引：42

作者：

Graves, Christopher M. ^{[1
]}

Otero, Jesse E. ^{[1
]}

Gao, Yubo ^{[1
]}

Goetz, Devon D. ^{[2
]}

Willenborg, Melissa D. ^{[1
]}

Callaghan, John J. ^{[1
]}

机构：

[1] Univ Iowa Hosp & Clin, Dept Orthopaed & Rehabil, Iowa City, IA 52242 USA

[2] Des Moines Orthopaed Surg, W Des Moines, IA USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 09期

关键词：

allergies; outcomes; SF36; WOMAC; satisfaction; TOTAL JOINT ARTHROPLASTY; REPLACEMENT; HEALTH;

D O I：

10.1016/j.arth.2014.02.040

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：

We evaluated 459 patients undergoing THA or TKA who completed preoperative and postoperative WOMAC and/or SF36 surveys. Medical comorbidities and reported allergies were also recorded. Evaluation of surveys was compared for patients with or without 4 or more reported allergies using statistical methods. Patients with 4 or more reported allergies had less improvement on SF36 Physical Component Score (Delta PCS = 4.2) than those with 0-3 allergies (Delta PCS = 10.0, P = 0.0002). Regression analysis showed that this change was independent of self-reported comorbidities. Patients reporting 4 or more allergies also had less improvement in WOMAC function (Delta F = 21.4) than those with 0-3 allergies (Delta F= 27.2, P = 0.036). Similar nonsignificant trends occurred in SF36 mental and WOMAC pain and stiffness scores. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：147 / 149

页数：3

共 15 条

[1] Predicting Dissatisfaction After Total Hip Arthroplasty: A Study of 850 Patients [J].

Anakwe, Raymond E. ;

Jenkins, Paul J. ;

Moran, Matthew .

JOURNAL OF ARTHROPLASTY, 2011, 26 (02) :209-213

[2] Patient Satisfaction after Total Knee Arthroplasty Who is Satisfied and Who is Not? [J].

Bourne, Robert B. ;

Chesworth, Bert M. ;

Davis, Aileen M. ;

Mahomed, Nizar N. ;

Charron, Kory D. J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :57-63

[3] A comprehensive 4-year survey of adverse drug reactions using a network-based hospital system [J].

Chen, C. -J. ;

Cheng, C. -F. ;

Lin, H. -Y. ;

Hung, S. -P. ;

Chen, W. -C. ;

Lin, M-S. .

JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS, 2012, 37 (06) :647-651

[4] Association of psychological status and patient-reported physical outcome measures in joint arthroplasty: a lack of divergent validity [J].

Giesinger, Johannes M. ;

Kuster, Markus S. ;

Behrend, Henrik ;

Giesinger, Karlmeinrad .

HEALTH AND QUALITY OF LIFE OUTCOMES, 2013, 11

[5] Trends in epidemiology of knee arthroplasty in the United States, 1990-2000 [J].

Jain, NB ;

Higgins, LD ;

Ozumba, D ;

Guller, U ;

Cronin, MN ;

Pietrobon, R ;

Katz, JN .

ARTHRITIS AND RHEUMATISM, 2005, 52 (12) :3928-3933

[6] Mental Health and Outcomes in Primary Total Joint Arthroplasty [J].

Lavernia, Carlos J. ;

Alcerro, Jose C. ;

Brooks, Larry G. ;

Rossi, Mark D. .

JOURNAL OF ARTHROPLASTY, 2012, 27 (07) :1276-1282

[7] Anaesthetist's responses to patients' self-reported drug allergies [J].

MacPherson, R. D. ;

Willcox, C. ;

Chow, C. ;

Wang, A. .

BRITISH JOURNAL OF ANAESTHESIA, 2006, 97 (05) :634-639

[8] The John Insall Award - Patient expectations affect satisfaction with total knee arthroplasty [J].

Noble, Philip C. ;

Conditt, Michael A. ;

Cook, Karon F. ;

Mathis, Kenneth B. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (452) :35-43

[9] Self-reported allergies and their relationship to several axis I disorders in a community sample [J].

Patten, Scott B. ;

Williams, Jeanne V. A. .

INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 2007, 37 (01) :11-22

[10] Importance of Self-Rated Health and Mental Well-Being in Predicting Health Outcomes Following Total Joint Replacement Surgery for Osteoarthritis [J].

Perruccio, Anthony V. ;

Davis, Aileen M. ;

Hogg-Johnson, Sheilah ;

Badley, Elizabeth M. .

ARTHRITIS CARE & RESEARCH, 2011, 63 (07) :973-981

← 1 2 →