Perioperative Complications and Length of Stay After Revision Total Hip and Knee Arthroplasties: An Analysis of the NSQIP Database

被引:72
作者
Liodakis, Emmanouil [1 ]
Bergeron, Stephane G. [1 ]
Zukor, David J. [1 ]
Huk, Olga L. [1 ]
Epure, Laura M. [1 ]
Antoniou, John [1 ]
机构
[1] McGill Univ, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada
关键词
short-term complications; revision total hip arthroplasty; revision total knee arthroplasty; NSQIP Database; length of stay; POSTOPERATIVE COMPLICATIONS; PREOPERATIVE ANEMIA; UNITED-STATES; OUTCOMES;
D O I
10.1016/j.arth.2015.05.029
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
Goals of this study were (1) to determine the 30-day complications after aseptic revision hip arthroplasty (RHA) and aseptic revision knee arthroplasty (RKA) and (2) to identify patient-related risk factors predicting major complications and prolonged hospital stay beyond 7 days. The National Surgical Quality Improvement Program (NSQIP) database was used to identify patients with RHA (n = 2643) or RKA (n = 2425) from 2011 to 2012. The 30-day mortality rates for RHA and RKA were 1.0% and 0.1% (P < 0.001) and the overall complication rates were 7.4% and 4.7% (P < 0.001) for RHA and RKA, respectively. Multivariable analysis showed that preoperative anemia is the most important modifiable independent predictor for both major complications and prolonged hospital stay after RHA and RKA. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:1868 / 1871
页数:4
相关论文
共 21 条
[1]   Dislocationm after revision total hip arthroplasty - An analysis of risk factors and treatment options [J].
Alberton, GM ;
High, WA ;
Morrey, BF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (10) :1788-1792
[2]   Thirty-Day Postoperative Complications and Mortality Following Total Knee Arthroplasty [J].
Belmont, Philip J., Jr. ;
Goodman, Gens P. ;
Waterman, Brian R. ;
Bader, Julia O. ;
Schoenfeld, Andrew J. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (01) :20-26
[3]  
Bydon Mohamad, 2014, Surg Neurol Int, V5, P156, DOI 10.4103/2152-7806.143754
[4]   Short Term Outcomes of Revision Total Knee Arthroplasty [J].
Dieterich, James D. ;
Fields, Adam C. ;
Moucha, Calin S. .
JOURNAL OF ARTHROPLASTY, 2014, 29 (11) :2163-2166
[5]   Shoulder Arthroplasties have Fewer Complications than Hip or Knee Arthroplasties in US Veterans [J].
Fehringer, Edward V. ;
Mikuls, Ted R. ;
Michaud, Kaleb D. ;
Henderson, William G. ;
O'Dell, James R. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (03) :717-722
[6]   Preoperative Anemia in Total Joint Arthroplasty: Is It Associated with Periprosthetic Joint Infection? [J].
Greenky, Max ;
Gandhi, Kishor ;
Pulido, Luis ;
Restrepo, Camilo ;
Parvizi, Javad .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2012, 470 (10) :2695-2701
[7]   THE ANEMIA OF ACUTE-RENAL-FAILURE - ASSOCIATION WITH OLIGURIA AND ELEVATED BLOOD UREA [J].
HALES, M ;
SOLEZ, K ;
KJELLSTRAND, C .
RENAL FAILURE, 1994, 16 (01) :125-131
[8]   Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002 [J].
Kurtz, S ;
Mowat, F ;
Ong, K ;
Chan, N ;
Lau, E ;
Halpern, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) :1487-1497
[9]   Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 [J].
Kurtz, Steven ;
Ong, Kevin ;
Lau, Edmund ;
Mowat, Fionna ;
Halpern, Michael .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) :780-785
[10]  
Lindberg-Larsen M, 2014, BONE JOINT J, V96-B, P1464