Operative Time Affects Short-term Complications in Total Joint Arthroplasty

Abstract Background Increased operative time has been associated with increased complications following TJA. The purpose of the present study was to investigate the effect of operative time on short-term complications following TJA while also identifying patient and operative factors associated with...

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Bibliographic Details
Published in:The Journal of arthroplasty 2017-04, Vol.32 (4), p.1285-1291
Main Authors: Duchman, Kyle R., MD, Pugely, Andrew J., MD, Martin, Christopher T., MD, Gao, Yubo, PhD, Bedard, Nicholas A., MD, Callaghan, John J., MD
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Body Mass Index
Comorbidity
complications
Female
Humans
Incidence
Male
Middle Aged
Morbidity
Obesity - complications
Operative Time
Orthopedics
Postoperative Complications - etiology
Postoperative Complications - mortality
Risk Factors
Surgical Wound Infection - etiology
total hip arthroplasty
total joint arthroplasty
total knee arthroplasty
United States - epidemiology
wound complications
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Summary:Abstract Background Increased operative time has been associated with increased complications following TJA. The purpose of the present study was to investigate the effect of operative time on short-term complications following TJA while also identifying patient and operative factors associated with prolonged operative times. Methods The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was queried from 2011-2013 to identify all patients who underwent primary total hip or knee arthroplasty. Patients were stratified by operative time, and 30-day morbidity and mortality data compared using univariate and multivariable analyses. Results We identified 99,444 patients who underwent primary TJA. The overall incidence of complications following TJA was 4.9%. Overall complications were increased in patients with operative times >120 minutes (5.9%) as compared to patients with operative times 120 minutes. Conclusions We found that operative time >120 minutes was associated with increased short-term morbidity and mortality following primary TJA. Younger age, male sex, black race, obesity, and increased comorbidity were risk factors for operative time exceeding 120 minutes.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2016.12.003