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HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN OCTOGENARIANS
OBJECTIVE: To evaluate the complication rate of total knee arthroplasty (TKA) in octogenarian patients and identify predictive factors. METHODS: The study comprised 70 octogenarians and 70 non-octogenarian patients as control group, all submitted to TKA. We analyzed the medical records of these pati...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
ATHA EDITORA
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405842/ https://www.ncbi.nlm.nih.gov/pubmed/32788859 http://dx.doi.org/10.1590/1413-785220202804230946 |
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author | Souza, Gabriel Garcez de Araujo Ramalho, Raphael Soejima Correia Albuquerque, Rodrigo Sattamini Pires e Barretto, João Maurício Chaves, Rafael Souza Mançãno de Sousa, Eduardo Branco |
author_facet | Souza, Gabriel Garcez de Araujo Ramalho, Raphael Soejima Correia Albuquerque, Rodrigo Sattamini Pires e Barretto, João Maurício Chaves, Rafael Souza Mançãno de Sousa, Eduardo Branco |
author_sort | Souza, Gabriel Garcez de Araujo |
collection | PubMed |
description | OBJECTIVE: To evaluate the complication rate of total knee arthroplasty (TKA) in octogenarian patients and identify predictive factors. METHODS: The study comprised 70 octogenarians and 70 non-octogenarian patients as control group, all submitted to TKA. We analyzed the medical records of these patients, seeking for complications during the first postoperative year. Regarding the risk factors, we evaluated: age, sex, race, American Society of Anesthesiologists score, body mass index, smoking, hypertension and diabetes mellitus. RESULTS: In the control group, the incidence of complications was 7.1%. Whereas in the octogenarian group it was significantly higher, reaching 34.3% (OR 6.8; 95% CI 2.4-19.1). We found no association to sex, skin color, and comorbidities. Age is an independent risk factor for postoperative complications. Our data may help patients to acknowledge the risks of undergoing primary TKA and physicians to assess and adjust perioperative risk. CONCLUSION: The incidence of postoperative complications is significantly higher in octogenarians. Level of Evidence III, Case-control study. |
format | Online Article Text |
id | pubmed-7405842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | ATHA EDITORA |
record_format | MEDLINE/PubMed |
spelling | pubmed-74058422020-08-11 HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN OCTOGENARIANS Souza, Gabriel Garcez de Araujo Ramalho, Raphael Soejima Correia Albuquerque, Rodrigo Sattamini Pires e Barretto, João Maurício Chaves, Rafael Souza Mançãno de Sousa, Eduardo Branco Acta Ortop Bras Original Article OBJECTIVE: To evaluate the complication rate of total knee arthroplasty (TKA) in octogenarian patients and identify predictive factors. METHODS: The study comprised 70 octogenarians and 70 non-octogenarian patients as control group, all submitted to TKA. We analyzed the medical records of these patients, seeking for complications during the first postoperative year. Regarding the risk factors, we evaluated: age, sex, race, American Society of Anesthesiologists score, body mass index, smoking, hypertension and diabetes mellitus. RESULTS: In the control group, the incidence of complications was 7.1%. Whereas in the octogenarian group it was significantly higher, reaching 34.3% (OR 6.8; 95% CI 2.4-19.1). We found no association to sex, skin color, and comorbidities. Age is an independent risk factor for postoperative complications. Our data may help patients to acknowledge the risks of undergoing primary TKA and physicians to assess and adjust perioperative risk. CONCLUSION: The incidence of postoperative complications is significantly higher in octogenarians. Level of Evidence III, Case-control study. ATHA EDITORA 2020 /pmc/articles/PMC7405842/ /pubmed/32788859 http://dx.doi.org/10.1590/1413-785220202804230946 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 |
spellingShingle | Original Article Souza, Gabriel Garcez de Araujo Ramalho, Raphael Soejima Correia Albuquerque, Rodrigo Sattamini Pires e Barretto, João Maurício Chaves, Rafael Souza Mançãno de Sousa, Eduardo Branco HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN OCTOGENARIANS |
title | HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN
OCTOGENARIANS |
title_full | HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN
OCTOGENARIANS |
title_fullStr | HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN
OCTOGENARIANS |
title_full_unstemmed | HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN
OCTOGENARIANS |
title_short | HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN
OCTOGENARIANS |
title_sort | higher risk of complications after total knee arthroplasty in
octogenarians |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405842/ https://www.ncbi.nlm.nih.gov/pubmed/32788859 http://dx.doi.org/10.1590/1413-785220202804230946 |
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