Demographics, outcomes, and risk factors for adverse events associated with primary and revision total hip arthroplasties in the United States.
We conducted a study to analyze nationally representative data on patient and health care system characteristics and in-hospital outcomes associated with primary and revision total hip arthroplasties in the United States. Between 1990 and 2004, there were an estimated 2,748,187 hospital discharges after total hip arthroplasty. The risk factors we identified for procedure-related complications and in-hospital mortality included revision procedures, increased age, and male sex. Compared with smaller hospital capacity (number of beds), large hospital capacity was associated with a decreased odds ratio for complications but an increased risk for in-hospital mortality. Additional studies are warranted to determine causal relationships.
Memtsoudis
Stavros G
SG
Department of Anesthesiology, Hospital for Special Surgery-Weill Medical College of Cornell University, New York, NY, USA. memtsoudiss@hss.edu
Ma
Yan
Y
Gonzalez Della Valle
Alejandro
A
Besculides
Melanie C
MC
Gaber
Licia K
LK
Koulouvaris
Panagiotis
P
Liu
Spencer S
SS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000706:statistics & numerical data; D003710:Demography; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000453:epidemiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D020127:Recovery of Function; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology