Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures

Abstract Background Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality. Methods The National Surgical Quality Improvement Program Database was queried to compare 30-day major c...

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Bibliographic Details
Published in:The Journal of arthroplasty 2016-09, Vol.31 (9), p.2008-2012
Main Authors: Liodakis, Emmanouil, MD, Antoniou, John, MD, PhD, Zukor, David J., MD, Huk, Olga L., MD, MSc, Epure, Laura M., Eng MSc, Bergeron, Stephane G., MD, MPH
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Blood Transfusion
complications
Databases, Factual
Female
femoral neck fracture
Femoral Neck Fractures - surgery
hemiarthroplasty
Hemiarthroplasty - adverse effects
Humans
Male
Middle Aged
Multivariate Analysis
NSQIP database
Odds Ratio
Orthopedics
Postoperative Complications - etiology
Quality Improvement
Risk Factors
total hip arthroplasty
transfusions
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Summary:Abstract Background Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality. Methods The National Surgical Quality Improvement Program Database was queried to compare 30-day major complications and perioperative transfusions after femoral neck fractures. Results A total of 4058 patients were included in the study: 3192 were treated with hemiarthroplasty and 866 with THA. Multivariable logistic regression analysis revealed that having a THA was not an independent risk factor for major complications (odds ratio = 0.8, P  = .18) but was an independent risk factor for requiring transfusions (odds ratio = 1.68, P < .001). Conclusion The risk of major complications is influenced by patient factors rather than the choice of procedure. However, THA was a risk factor for transfusions after controlling for all other variables.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2016.02.019