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

Abstract 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 Nation...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-11, Vol.30 (11), p.1868-1871
Main Authors: Liodakis, Emmanouil, MD, Bergeron, Stephane G., MD, MPH, Zukor, David J., MD, Huk, Olga L., MSc, MD, Epure, Laura M., Eng. MSc, Antoniou, John, PhD, MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - mortality
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - mortality
Canada - epidemiology
Databases, Factual
Female
Humans
Length of Stay
Male
Middle Aged
NSQIP Database
Orthopedics
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Quality Improvement
Reoperation - mortality
revision total hip arthroplasty
revision total knee arthroplasty
Risk Factors
short-term complications
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Summary:Abstract 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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.05.029