Rheumatoid Arthritis vs Osteoarthritis: Comparison of Demographics and Trends of Joint Replacement Data from the Nationwide Inpatient Sample
| Autor: | Khaled J. Saleh, Alexander J. Kurdi, Mouhanad M. El-Othmani, Tony H. Tzeng, Steve Scaife, Benjamin Voss |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Joint replacement medicine.medical_treatment Arthroplasty Replacement Hip Arthritis Osteoarthritis Lower risk Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Postoperative Complications Sex Factors Risk Factors Internal medicine medicine Humans Arthroplasty Replacement Knee Aged 030203 arthritis & rheumatology Aged 80 and over 030222 orthopedics business.industry Wound dehiscence Age Factors Middle Aged musculoskeletal system medicine.disease Arthroplasty surgical procedures operative Rheumatoid arthritis Female Complication business |
| Zdroj: | American journal of orthopedics (Belle Mead, N.J.). 47(7) |
| ISSN: | 1934-3418 |
| Popis: | Current literature regarding complications following total joint arthroplasty have primarily focused on patients with osteoarthritis (OA), with less emphasis on the trends and in-hospital outcomes of rheumatoid arthritis (RA) patients undergoing these procedures. The purpose of this study is to analyze the outcomes and trends of RA patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA) compared to OA patients. Data from the Nationwide Inpatient Sample from 2006 to 2011 was extracted using the International Classification of Diseases, Ninth Revision codes for patients that received a TKA or THA. Outcome measures included cardiovascular complications, cerebrovascular complications, pulmonary complications, wound dehiscence, and infection. Inpatient and hospital demographics including primary diagnosis, age, gender, primary payer, hospital teaching status, Charlson Comorbidity Index score, hospital bed size, location, and median household income were analyzed. Logistic regression analysis of OA vs RA patients with patient outcomes revealed that osteoarthritic THA candidates had lower risk for cardiovascular complications, pulmonary complications, wound dehiscence, infections, and systemic complications, compared to rheumatoid patients. There was a significantly elevated risk of cerebrovascular complication in osteoarthritic THA compared to RA THA. OA patients undergoing TKA had significantly higher risk for cardiovascular and cerebrovascular complications. There were significant decreases in mechanical wounds, infection, and systemic complications in the OA TKA patients. RA patients are at higher risk for postoperative infection, wound dehiscence, and systemic complications after TKA and THA compared to OA patients. These findings highlight the importance of preoperative medical clearance and management to optimize RA patients and improve the postoperative outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|