title: Perioperative Complications and Length of Stay After Revision Total Hip and Knee Arthroplasties: An Analysis of the NSQIP Database.
abstract: Goals of this study were (1) to determine the 30-day complications after aseptic revision hip arthroplasty (RHA) and aseptic revision knee arthroplasty (RKA) and (2) to identify patient-related risk factors predicting major complications and prolonged hospital stay beyond 7 days. The National Surgical Quality Improvement Program (NSQIP) database was used to identify patients with RHA (n=2643) or RKA (n=2425) from 2011 to 2012. The 30-day mortality rates for RHA and RKA were 1.0% and 0.1% (P<0.001) and the overall complication rates were 7.4% and 4.7% (P<0.001) for RHA and RKA, respectively. Multivariable analysis showed that preoperative anemia is the most important modifiable independent predictor for both major complications and prolonged hospital stay after RHA and RKA.
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Liodakis
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Stephane G
authors.initials: SG
authors.lastname: Bergeron
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: David J
authors.initials: DJ
authors.lastname: Zukor
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Olga L
authors.initials: OL
authors.lastname: Huk
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Epure
authors.affiliation: Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: John
authors.initials: J
authors.lastname: Antoniou
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000401:mortality*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000401:mortality*; D002170:Canada / Q000453:epidemiology; D016208:Databases, Factual; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D058996:Quality Improvement; D012086:Reoperation / Q000401:mortality; D012307:Risk Factors
keywords: NSQIP Database; length of stay; revision total hip arthroplasty; revision total knee arthroplasty; short-term complications