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

• 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
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2015.05.029

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.