Short-term coagulation complications following total knee arthroplasty: a comparison of patient-reported and surgeon-verified complication rates.
Data from 3278 patients from a prospective patient-centered total joint registry was used to investigate the rates of complications in the first 6 months following primary total knee arthroplasty. All patients reporting deep venous thrombosis (DVT), pulmonary embolism (PE), or major bleeding were identified through patient self-reporting. Complications were verified by a review of imaging records and direct communication with patients by a surgeon. Surgeon-verified rates of DVT, PE, and major bleeding were 1.52%, 0.49%, and 0.34%, respectively. When compared with the complication rates as reported by patients, concordance was 86.2% for DVT, 84.2% for PE, and 36.7% for major bleeding. More than half (54.5%) of the complications were diagnosed and treated at the original operative hospital, and 45.5% were diagnosed and treated at other institutions.
Department of Orthopedics, Hospital for Special Surgery, New York, NY 10021, USA.
Craig H
CH
Dushey
Lindsey J
LJ
Bornstein
Michael M
MM
Alexiades
Geoffrey H
GH
Westrich
D019645:Arthroplasty, Replacement, Knee; D006470:Hemorrhage / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D020370:Osteoarthritis, Knee / Q000601:surgery; D010820:Physicians; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D011184:Postoperative Period; D011446:Prospective Studies; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000453:epidemiology*; D012042:Registries; D015203:Reproducibility of Results; D012189:Retrospective Studies; D057566:Self Report; D011795:Surveys and Questionnaires; D020246:Venous Thrombosis / Q000175:diagnosis / Q000453:epidemiology*