Racial disparities in post-operative complications and discharge destination following total joints arthroplasty: a national database study
| Autor: | Alex Upfill-Brown, Noah Paisner, Adam Sassoon |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Hip
Post-operative complications Replacement Discharge destination Clinical Sciences Bioengineering Venous Thromboembolism General Medicine Patient Discharge Arthroplasty Postoperative Complications Orthopedics Total knee arthroplasty Clinical Research Humans Knee Total hip arthroplasty Orthopedics and Sports Medicine Surgery Racial disparities Retrospective Studies |
| Zdroj: | Archives of orthopaedic and trauma surgery, vol 143, iss 4 |
| ISSN: | 1434-3916 |
| Popis: | Introduction The objective of this study was to explore race-based differences in 30-day complication rates following total joint arthroplasty (TJA) using a large national database. Methods Patients undergoing primary, elective THA and TKA between 2012 and 2018 were retrospectively reviewed using the ACS-NSQIP. We compared Black and Hispanic patients with non-Hispanic White patients using multivariate statistical models adjusting for demographic, operative, and medical characteristics. Results A total of 324,795 and 200,023 patients undergoing THA and TKA, respectively, were identified. After THA, compared to White patients, Black and Hispanic patients were more likely to be diagnosed with VTE (p p p p p = 0.008, respectively), be diagnosed with VTE (p p Conclusions Our findings indicate higher rates of VTE, blood transfusions, and discharge to an inpatient facility for Black and Hispanic patients when compared to White patients following TJA, though we are unable to comment on the etiology of these disparities. These results may contribute to a growing divide with respect to outcomes and access to TJA for these at-risk patient populations. |
| Databáze: | OpenAIRE |
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