Incidence and Clinical Risk Factors of Post-Operative Complications following Primary Total Hip Arthroplasty: A 10-Year Population-Based Cohort Study

被引:1
|
作者
Lin, Yen-Sheng [1 ,2 ]
DeClercq, Joshua J. [3 ]
Ayers, Gregory D. [3 ]
Gilmor, Ruby J. [4 ]
Collett, Garen [1 ]
Jain, Nitin B. [1 ,2 ,3 ,5 ]
机构
[1] Univ Texas Southwestern, Dept Orthopaed Surg, Dallas, TX 75390 USA
[2] Univ Texas Southwestern, Dept Phys Med & Rehabil, Dallas, TX 75390 USA
[3] Vanderbilt Univ Sch Med, Dept Phys Med & Rehabil, Nashville, TN 37212 USA
[4] Sinai Hosp Baltimore, Baltimore, MD 21215 USA
[5] Univ Texas Southwestern, Dept Populat & Data Sci, Dallas, TX 75390 USA
关键词
total hip arthroplasty; complications; state inpatient database; STATE INPATIENT DATABASES; AVASCULAR NECROSIS; RELATIVE FREQUENCY; MEDICAID INSURANCE; REPLACEMENT; KNEE; MORTALITY; AGE;
D O I
10.3390/jcm13010160
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Total hip arthroplasty (THA) has become a growing treatment procedure for debilitating hip pathologies. Patients experienced post-operative complications and revision surgeries according to large THA registries. To fully understand the short-term and long-term post-operative outcomes following THA, the purpose of this study is to examine the incidence of post-operative complications following primary THA and to examine how this trend has changed over 10 years within community hospitals in the US using large databases. Methods: This study queried the State Inpatient Database (SID) for primary THA between 2006 and 2015. Individual patients were followed forward in time until the first instance of a post-operative complication. The multivariable logistic regression analyses were computed to examine which post-operative complications were independent predictors of pre-operative comorbidities. Results: Median age of patients was 67 years, and 56% of patients were female. Females with avascular necrosis (AVN) as an indication for THA had a 27% higher risk of complication. Females with osteoarthritis (OA) as an indication for THA had a 6% higher risk of complication. Post-operative complications occurred with higher frequencies in the first two months of THA and the highest risks of THA complications within the first 6 months. Conclusion: The most common indication is OA in elders with primary THA. Females and those of black ethnicity showed the greatest risks of THA complications. Data from our large study can be used to understand post-operative complications and readmissions after THA. Our study also provides data on risk factors associated with these complications.
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页数:14
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