Mortality and other complications after revision joint arthroplasty: Investigating the modifiable independent predictors

Autor: Sancar Alp Ovali, Anar Keremov, Kerem Basarir, Mustafa Kavak
Rok vydání: 2020
Předmět:
Zdroj: Journal of Arthroscopy and Joint Surgery. 7:172-176
ISSN: 2214-9635
DOI: 10.1016/j.jajs.2020.09.009
Popis: Objective The aim of this study was to determine the mortality rate and other complications after revision total joint arthroplasites (TJAs) during the first year of follow-up and to identify the patient-related risk factors predicting mortality, major and minor complications and prolonged hospital stay. Methods The hospital’s database program was used to identify patients who had undergone revision hip arthroplasty (114 patients) or revision knee arthroplasty (87 patients) between the years 2013 and 2018. Patients’ demographics and perioperative data were collected.Relationships between the perioperative factors and the outcomes were tested using univariable analysis. Significant variables were analyzed using a multivariate logistic regression model. Results The mortality rates during the first year of follow-up of RHA and RKA patients were 7% and 3.3%, respectively (p = 0.356). The rates of major complications in RHA and RKA patients were 13.2% and 6.9% (p = 0.150) and the rates of minor complications were 14.9% and 11.5%, respectively (p = 0.481). The mean length of hospital stay was 9.8 ± 11.8 days for RHA patients and 8.3 ± 10 days for RKA patients (p = 0.002). Being over the age of 80, having undergone septic revisions and having an ASA score greater than 2 were independent risk factors for mortality and major complications during the first year of follow-up. Blood transfusion, a BMI greater than 30 and re-revision surgery were independent predictors for minor complications and prolonged length of stay at the hospital. Conclusion Being over the age of 80, having undergone septic revisions and having an ASA score greater than 2 were independent risk factors for mortality and major complications during the first year of follow-up. Blood replacement, a BMI greater than 30 and re-revision surgery were independent predictors for minor complications and prolonged length of stay at the hospital. Blood transfusion is the important modifiable independent predictor for complications and prolonged hospital stay after revision TJAs.
Databáze: OpenAIRE
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