Total Joint Arthroplasty in Nonagenarians: What Are the Risks?

Abstract With recent increases in life expectancy in the United States, the number of nonagenarians (age 90–99 years) presenting for lower extremity joint arthroplasty (TJA) will likely rise. Utilizing the National Surgical Quality Improvement Program database, we compared 30-day outcomes of TJA bet...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-12, Vol.30 (12), p.2102-2105.e1
Main Authors: Jauregui, Julio J., MD, Boylan, Matthew R., ScB, Kapadia, Bhaveen H., MD, Naziri, Qais, MD, Maheshwari, Aditya V., MD, Mont, Michael A., MD
Format: Article
Language:English
Subjects:
Age Factors
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - statistics & numerical data
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - statistics & numerical data
Comorbidity
complications
Databases, Factual
elderly
Female
Humans
Length of Stay - statistics & numerical data
Male
nonagenarian
Orthopedics
outcomes
Patient Readmission - statistics & numerical data
Postoperative Period
Risk Factors
total joint arthroplasty
Treatment Outcome
United States
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Summary:Abstract With recent increases in life expectancy in the United States, the number of nonagenarians (age 90–99 years) presenting for lower extremity joint arthroplasty (TJA) will likely rise. Utilizing the National Surgical Quality Improvement Program database, we compared 30-day outcomes of TJA between nonagenarians and controls (age < 90 years). Nonagenarians had lower mean BMI, no difference in mean number of comorbidities, and shorter mean operation time. Compared to controls, nonagenarians had longer mean length-of-stay, higher readmission rate, and higher risk of postoperative adverse events. Given these findings, orthopaedic surgeons should be aware of the increased risks of TJA in nonagenarians, and should discuss these risks with potential surgical candidates during a shared decision-making process.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.06.028