Incidence and related risk factors for postoperative delirium following revision total knee arthroplasty: a retrospective nationwide inpatient sample database study

Autor:	Zikai Peng, Jingyi Wu, Zhennan Wang, Hao Xie, Jian Wang, Ping Zhang, Qinfeng Yang, Ya Luo
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Nationwide inpatient sample Delirium Postoperative complications Risk factors Revision total knee arthroplasty Diseases of the musculoskeletal system RC925-935
Zdroj:	BMC Musculoskeletal Disorders, Vol 25, Iss 1, Pp 1-12 (2024)
Druh dokumentu:	article
ISSN:	1471-2474
DOI:	10.1186/s12891-024-07757-8
Popis:	Abstract Background Postoperative delirium (POD) is a common surgical complication. However, the incidence and risk factors associated with postoperative delirium after revision total knee arthroplasty (rTKA) have not been comprehensively explored through extensive national databases. Methods Utilizing the National Inpatient Sample (NIS), the largest comprehensive U.S. hospital healthcare database, we undertook a retrospective investigation involving 127,400 patients who underwent rTKA between 2010 and 2019. We assessed various aspects, including patient demographics, hospital characteristics, pre-existing medical conditions, and perioperative complications. Results The overall incidence of postoperative delirium (POD) in patients undergoing rTKA between 2010 and 2019 was 0.97%. The highest incidence rate of 1.31% was recorded in 2013. Notably, this patient cohort demonstrated advanced age, increased burden of co-morbidities, prolonged hospital stays, increased hospitalization costs, and elevated in-hospital mortality rates (P
Databáze:	Directory of Open Access Journals
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