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RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demogra...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
ATHA EDITORA
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220664/ https://www.ncbi.nlm.nih.gov/pubmed/30464711 http://dx.doi.org/10.1590/1413-785220182605190790 |
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author | Lehtonen, Eva J. Hess, Matthew C. McGwin, Gerald Shah, Ashish Godoy-Santos, Alexandre Leme Naranje, Sameer |
author_facet | Lehtonen, Eva J. Hess, Matthew C. McGwin, Gerald Shah, Ashish Godoy-Santos, Alexandre Leme Naranje, Sameer |
author_sort | Lehtonen, Eva J. |
collection | PubMed |
description | OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demographics, preoperative comorbidities, laboratory data, operative characteristics, and postoperative complications were compared between readmitted and non-readmitted patients. Logistic regression identified independent risk factors for 30-day readmission. RESULTS: 137,209 patients underwent TKA; 3.4% were readmitted within 30 days. Advanced age, male sex, black ethnicity, morbid obesity, presence of preoperative comorbidities, high ASA classification, and increased operative time were independently related risk factors. Asian and no reported race were negative risk factors. Postoperative complications: acute myocardial infarction, acute renal failure, stroke, pneumonia, pulmonary embolism, and deep vein thrombosis show positive associations. CONCLUSIONS: Advanced age, male sex, black ethnicity, morbid obesity, presence of comorbidities, high ASA classification and long operative time are independent risk factors for postoperative complications and early hospital readmission following total knee arthroplasty. Level of Evidence III, Case control study. |
format | Online Article Text |
id | pubmed-6220664 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | ATHA EDITORA |
record_format | MEDLINE/PubMed |
spelling | pubmed-62206642018-11-21 RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY Lehtonen, Eva J. Hess, Matthew C. McGwin, Gerald Shah, Ashish Godoy-Santos, Alexandre Leme Naranje, Sameer Acta Ortop Bras Original Article OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demographics, preoperative comorbidities, laboratory data, operative characteristics, and postoperative complications were compared between readmitted and non-readmitted patients. Logistic regression identified independent risk factors for 30-day readmission. RESULTS: 137,209 patients underwent TKA; 3.4% were readmitted within 30 days. Advanced age, male sex, black ethnicity, morbid obesity, presence of preoperative comorbidities, high ASA classification, and increased operative time were independently related risk factors. Asian and no reported race were negative risk factors. Postoperative complications: acute myocardial infarction, acute renal failure, stroke, pneumonia, pulmonary embolism, and deep vein thrombosis show positive associations. CONCLUSIONS: Advanced age, male sex, black ethnicity, morbid obesity, presence of comorbidities, high ASA classification and long operative time are independent risk factors for postoperative complications and early hospital readmission following total knee arthroplasty. Level of Evidence III, Case control study. ATHA EDITORA 2018 /pmc/articles/PMC6220664/ /pubmed/30464711 http://dx.doi.org/10.1590/1413-785220182605190790 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lehtonen, Eva J. Hess, Matthew C. McGwin, Gerald Shah, Ashish Godoy-Santos, Alexandre Leme Naranje, Sameer RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title | RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title_full | RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title_fullStr | RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title_full_unstemmed | RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title_short | RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY |
title_sort | risk factors for early hospital readmission following total knee arthroplasty |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220664/ https://www.ncbi.nlm.nih.gov/pubmed/30464711 http://dx.doi.org/10.1590/1413-785220182605190790 |
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