Racial disparities in peri-operative complications following primary total hip arthroplasty

被引:23
作者
Johnson, Mitchell A. [1 ]
Sloan, Matthew [1 ]
Lopez, Viviana Serra [1 ]
Andah, Gerald [1 ]
Sheth, Neil [1 ]
Nelson, Charles [1 ]
机构
[1] Hosp Univ Penn, Div Orthopaed Surg, 3400 Spruce St, Philadelphia, PA 19104 USA
关键词
Arthroplasty; Racial disparity; Complications; Primary total hip replacement; Operative time; Discharge location; TOTAL JOINT ARTHROPLASTY; HEALTH-CARE; REPLACEMENT; OUTCOMES; KNEE; VOLUME; RACE;
D O I
10.1016/j.jor.2020.03.037
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
Background: This study assesses if post-operative outcomes following THA vary by racial groups. Methods: A review of the ACS-NSQIP database was performed to compare THA patient outcomes from 2008 to 2016 according to race. Results: During the study period, 117,389 THA patients were identified. Blacks were at significantly increased risk of peri-operative complications in comparison to non-Hispanic Whites, including serious medical morbidity (+27%), and prolonged length of stay (+53%). Conclusions: Despite multivariate control and propensity-matched analysis of important risk factors, race independently predicts longer operative times and higher rates of discharge to non-home facilities.
引用
收藏
页码:155 / 160
页数:6
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