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Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients
As outcomes and survivorship improve, total knee arthroplasty (TKA) has expanded into broader age groups. The purpose of this study is to analyze the impact of age on TKA outcomes using the National Surgical Quality Improvement Program (NSQIP) database from 2015 to 2020. Patients were categorized in...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10648704/ https://www.ncbi.nlm.nih.gov/pubmed/37959609 http://dx.doi.org/10.3390/ma16217012 |
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author | Anastasio, Albert T. Kim, Billy I. Cochrane, Niall H. Belay, Elshaday Bolognesi, Michael P. Talaski, Grayson M. Ryan, Sean P. |
author_facet | Anastasio, Albert T. Kim, Billy I. Cochrane, Niall H. Belay, Elshaday Bolognesi, Michael P. Talaski, Grayson M. Ryan, Sean P. |
author_sort | Anastasio, Albert T. |
collection | PubMed |
description | As outcomes and survivorship improve, total knee arthroplasty (TKA) has expanded into broader age groups. The purpose of this study is to analyze the impact of age on TKA outcomes using the National Surgical Quality Improvement Program (NSQIP) database from 2015 to 2020. Patients were categorized into young (40–49 years), middle (50–79 years), and elderly (80–89 years) groups. Findings reveal notable differences across age groups. The young cohort had the highest BMI, smoking incidence, and steroid use, while the elderly group exhibited a higher prevalence of comorbidities. Young patients experienced shorter hospital stays (p < 0.001) but longer operative times (p < 0.001), and outpatient surgery was most common in the middle age group. Multivariable regression demonstrated that the elderly group faced increased risks of pneumonia (p < 0.001), acute renal failure (p < 0.001), stroke (p < 0.001), cardiac arrest (p < 0.001), and transfusions (p < 0.001), while both young and elderly patients had higher 30-day reoperation risks (youngest cohort, 1.4% and elderly cohort 1.3% (p < 0.001)). In summary, elderly patients undergoing TKA are at the highest risk for medical complications, while young patients are more likely to undergo inpatient surgery, experience reoperations, and have longer operative times. This study underscores the importance of age-specific counseling for TKA patients and contributes valuable insights into the evolving landscape of knee replacement surgery. |
format | Online Article Text |
id | pubmed-10648704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106487042023-11-02 Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients Anastasio, Albert T. Kim, Billy I. Cochrane, Niall H. Belay, Elshaday Bolognesi, Michael P. Talaski, Grayson M. Ryan, Sean P. Materials (Basel) Communication As outcomes and survivorship improve, total knee arthroplasty (TKA) has expanded into broader age groups. The purpose of this study is to analyze the impact of age on TKA outcomes using the National Surgical Quality Improvement Program (NSQIP) database from 2015 to 2020. Patients were categorized into young (40–49 years), middle (50–79 years), and elderly (80–89 years) groups. Findings reveal notable differences across age groups. The young cohort had the highest BMI, smoking incidence, and steroid use, while the elderly group exhibited a higher prevalence of comorbidities. Young patients experienced shorter hospital stays (p < 0.001) but longer operative times (p < 0.001), and outpatient surgery was most common in the middle age group. Multivariable regression demonstrated that the elderly group faced increased risks of pneumonia (p < 0.001), acute renal failure (p < 0.001), stroke (p < 0.001), cardiac arrest (p < 0.001), and transfusions (p < 0.001), while both young and elderly patients had higher 30-day reoperation risks (youngest cohort, 1.4% and elderly cohort 1.3% (p < 0.001)). In summary, elderly patients undergoing TKA are at the highest risk for medical complications, while young patients are more likely to undergo inpatient surgery, experience reoperations, and have longer operative times. This study underscores the importance of age-specific counseling for TKA patients and contributes valuable insights into the evolving landscape of knee replacement surgery. MDPI 2023-11-02 /pmc/articles/PMC10648704/ /pubmed/37959609 http://dx.doi.org/10.3390/ma16217012 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Communication Anastasio, Albert T. Kim, Billy I. Cochrane, Niall H. Belay, Elshaday Bolognesi, Michael P. Talaski, Grayson M. Ryan, Sean P. Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title | Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title_full | Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title_fullStr | Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title_full_unstemmed | Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title_short | Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients |
title_sort | higher risk of reoperation after total knee arthroplasty in young and elderly patients |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10648704/ https://www.ncbi.nlm.nih.gov/pubmed/37959609 http://dx.doi.org/10.3390/ma16217012 |
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