Venous Thromboembolic Disease in Revision Versus Primary Total Knee Arthroplasty

Abstract Background Venous thromboembolic disease (VTED) is a serious complication of primary and revision total knee arthroplasty (TKA). However, the incidence and risk of VTED for revision compared to primary TKA cases have not been well-described. Methods We identified 225,584 TKA’s (208,954 prim...

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Bibliographic Details
Published in:The Journal of arthroplasty 2017
Main Authors: Boylan, Matthew R., MD MPH, Perfetti, Dean C., BA, Kapadia, Bhaveen H., MD, Delanois, Ronald E., MD, Paulino, Carl B., MD, Mont, Michael A., MD
Format: Article
Language:English
Subjects:
Orthopedics
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Summary:Abstract Background Venous thromboembolic disease (VTED) is a serious complication of primary and revision total knee arthroplasty (TKA). However, the incidence and risk of VTED for revision compared to primary TKA cases have not been well-described. Methods We identified 225,584 TKA’s (208,954 primaries, 16,630 revisions) in the 2003 to 2012 Statewide Planning and Research Cooperative System (SPARCS) database. Odds ratios (ORs) expressed the risk of VTED for revision versus primary TKA, and models were adjusted for age, gender, race, and Charlson comorbidity scores. Outcome analyses were further stratified into deep venous thromboses (DVTs) and pulmonary emboli (PEs). Results The incidence of VTED within 30 days was 2.24% for primary and 1.84% for revision. In multivariable-adjusted regression, the OR of VTED within 30 days for revision compared to primary was 0.81 (95% CI=0.72-0.91; p
ISSN:0883-5403
DOI:10.1016/j.arth.2016.12.051