Predicting Adverse Outcomes After Total Hip Arthroplasty
| Autor: | Jonathan J. Cui, Jonathan N. Grauer, Nidharshan S. Anandasivam, Ryan P. McLynn, Daniel D. Bohl, Nathaniel T. Ondeck, Patawut Bovonratwet |
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| Rok vydání: | 2018 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Adverse outcomes Arthroplasty Replacement Hip medicine.medical_treatment Frailty Index Comorbidity Risk Assessment Body Mass Index 03 medical and health sciences Postoperative Complications Sex Factors 0302 clinical medicine health services administration Internal medicine medicine Humans Orthopedics and Sports Medicine Aged 030222 orthopedics Frailty business.industry Age Factors Length of Stay Middle Aged medicine.disease Arthroplasty surgical procedures operative 030220 oncology & carcinogenesis Charlson comorbidity index Female Surgery business Body mass index American society of anesthesiologists Total hip arthroplasty |
| Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. 26:735-743 |
| ISSN: | 1067-151X |
| Popis: | No known study has compared the predictive power of the American Society of Anesthesiologists (ASA) class, modified Charlson Comorbidity Index, modified Frailty Index, and demographic characteristics for general health complications after total hip arthroplasty (THA).Comorbidity indices and demographics from National Surgical Quality Improvement Program THA patients were evaluated for discriminative ability in predicting adverse outcomes using the area under the curve analysis from the receiver operating characteristic curves. Perioperative outcomes included any adverse event, severe adverse events, minor adverse events, extended hospital stay, and discharge to higher-level care.In total, 64,792 THA patients were identified. The most predictive comorbidity index was ASA, and demographic factor was age. Of these, age had the greatest discriminative ability for four of the five adverse outcomes.For THA, easily obtained patient ASA and age are more predictive of perioperative adverse outcomes than the more complex and numerically tabulated modified Charlson Comorbidity Index and modified Frailty Index. |
| Databáze: | OpenAIRE |
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