In-hospital complications following primary total hip and knee arthroplasty in octogenarian and nonagenarian patients
| Autor: | Girish Swamy, Sunil Yellu, Shashi Kumar Nanjayan, Robert Straw, Sachin Yallappa, T. Abuzakuk |
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| Rok vydání: | 2013 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Sports medicine Arthroplasty Replacement Hip medicine.medical_treatment Total hip replacement Total knee arthroplasty Arthroplasty In-hospital complications Age Distribution Postoperative Complications Risk Factors Octogenarian Internal medicine medicine Humans Orthopedics and Sports Medicine Prospective Studies Nonagenarian Arthroplasty Replacement Knee Prospective cohort study Aged 80 and over business.industry Incidence Incidence (epidemiology) Length of Stay musculoskeletal system humanities Rheumatology Surgery Logistic Models Treatment Outcome surgical procedures operative Multivariate Analysis Orthopedic surgery Female Original Article business |
| Zdroj: | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology |
| ISSN: | 1590-9999 1590-9921 |
| Popis: | Background As life expectancy of patients increases, more elderly patients are undergoing primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). There is a general perception of increased risk of complications in elderly patients. Our objective was to analyse the incidence of in-hospital medical and surgical complications following THA and TKA in octogenarian and nonagenarians. Materials and methods This was a prospective review of 202 consecutive patients aged more than 80 years who underwent total hip and total knee arthroplasty (101 THA, 101 TKA) over an 18-month period. In this single-centre observational study, collected data included patient demographics, American Society of Anethesiologists (ASA) grade, length of hospital stay and peri-operative medical and surgical complications during their hospital stay. Results Median age of patients was 83 years. Median ASA grade was 3. Mean length of hospital stay was 7.5 days. There were 14 major systemic complications in the THA group and 13 in the TKA group. While 1 major local complication occurred in each group, there were 6 minor local complications in THA and 7 in the TKA group. All the complications occurred within 5 post-operative days. There was no in-hospital mortality. Conclusion In our study, we found that the incidence of peri-operative medical and surgical complications is higher in those over 80 years, compared to the published literature in patients of all age groups undergoing THA and TKA. Awareness of a higher incidence of major systemic complications should alert the treating surgeon to carry out comprehensive peri-operative management in this subset of patients, which could lead to better outcomes. |
| Databáze: | OpenAIRE |
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