Hypertensive Patients Show Delayed Wound Healing following Total Hip Arthroplasty
Autor: | Matthew Kleiner, Pekka Mooar, Curtis Miyamoto, Joseph S. Torg, Awad A. Ahmed |
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Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty Critical Care and Emergency Medicine medicine.medical_treatment Arthroplasty Replacement Hip Population Orthopedic Surgery lcsh:Medicine Blood Pressure Cardiovascular Diabetes mellitus medicine Humans lcsh:Science education Aged Aged 80 and over Delayed wound healing education.field_of_study Wound Healing Multidisciplinary Joint Replacement Surgery business.industry lcsh:R Middle Aged medicine.disease Arthroplasty Surgery Increased risk Blood pressure Anesthesia Hypertension Medicine lcsh:Q Female Perioperative Critical Care Wound healing business Total hip arthroplasty Research Article |
Zdroj: | PLoS ONE PLoS ONE, Vol 6, Iss 8, p e23224 (2011) |
ISSN: | 1932-6203 |
Popis: | BACKGROUND: Prolonged wound-discharge following total hip arthroplasty (THA) is associated with an increased risk of infection. However, the potential role of hypertension in prolonging the duration of wound healing in this population has not yet been investigated. The aim of the present study was to compare healing in this population that has not yet been investigated. The aim of the present study was to compare hypertensive and normotensive THA patients in terms of the length of time required to achieve a dry wound and the length of stay in the hospital. METHODS: One hundred and twenty primary THA patients were evaluated. Pre-operative clinical history and physical examination revealed that 29 were hypertensive and 91 were normotensive. The two groups were statistically matched using optimal propensity score matching. The outcomes of interest were the number of days until a dry wound was observed and the duration of hospital stay. RESULTS: The average systolic blood pressures were 150.1 mmHg and 120.3 mmHg for the hypertensive and normotensive groups, respectively. The mean number of days until the wound was dry was 3.79 for the hypertensive group and 2.03 for the normotensive group. Hypertensive patients required more days for their wounds to dry than normotensive patients (odds ratio = 1.65, p |
Databáze: | OpenAIRE |
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