Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization.
BACKGROUND
Total hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications.


OBJECTIVE
To evaluate the association between THA complications and controlled DM during hospitalization period.


METHODS
Cross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia. The chi-squared and Fisher's exact tests were used in SAS statistical program.


RESULTS
Most patients were elderly females. The most prevalent comorbidities in the sample were hypertension and diabetes. The most frequent underlying pathology in the sample was coxarthrosis; among patients with DM, it was femoral neck fracture. The most common complications were changes in the hemolymphopoietic system, among which anemia was the most frequent complication. Cardiovascular, nervous, and blood glucose complications were positively associated with controlled DM. In turn, hemolymphopoietic, genitourinary, digestive, electrolyte, and infectious complications were not associated with DM. Having DM was a protective factor for thermal complications. There was no statistically significant difference between patients that had or did not have DM in each complication group studied.


CONCLUSIONS
Patients with controlled DM did not present more complications than those without DM during hospitalization in the post THA.
Faculdade de Tecnologia e Ciências (FTC), Salvador, BA, Brazil.
Fernanda Rezende Campos
FR
Falcão
Faculdade de Tecnologia e Ciências (FTC), Salvador, BA, Brazil.
Bruno Anderson Gomes
BA
Dias
Faculdade de Tecnologia e Ciências (FTC), Salvador, BA, Brazil.
Liz Araujo
LA
Wolfovitch
Faculdade de Tecnologia e Ciências (FTC), Salvador, BA, Brazil; Clínica Ortopédica Traumatológica (COT), Salvador, BA, Brazil.
David
D
Sadigursky
Diabetes mellitus; Postoperative complications; Total hip arthroplasty