Decreasing Incidence of Postoperative Ileus Following Total Hip Arthroplasty: A 17-Year Retrospective Review of 31,619 Total Hip Replacements at One Institution
| Autor: | James V. Bono, Bob H. Nguyen, Olivia J. Bono |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Retrospective review
medicine.medical_specialty Ileus Postoperative ileus business.industry Incidence (epidemiology) Total hip replacement Postoperative complication medicine.disease Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine 030211 gastroenterology & hepatology 030212 general & internal medicine Complication business Total hip arthroplasty |
| Zdroj: | The Journal of Hip Surgery. :089-092 |
| ISSN: | 2472-8454 2472-8446 |
| Popis: | Ileus following total hip arthroplasty (THA) is a clinically and financially significant postoperative complication that has not been extensively described in the orthopaedic joint literature. Ileus has been found to occur in 0.7 to 4.0% of patients after total joint arthroplasty and as high as 5.6% in patients after revision THA.1,2,3 In a 17-year period (2001 Fiscal Year through 2017 Fiscal Year) at one institution, the authors found an incidence of 0.674% (213/31619) following THA. In addition, the incidence of ileus following THA has drastically declined over this 17-year period, from 1.822% (19/1043) in 2001 to 0.099% (3/3036) in 2017. This decrease may be attributed to a reduction in narcotic use postoperatively, earlier ambulation following surgery, and reduction in length of hospital stay. Though postoperative ileus is not yet a preventable complication, recognition of risk factors may permit earlier intervention to ameliorate some of the morbidity associated with this condition. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|