Complications - OtherDependent Functional Status is a Risk Factor for Perioperative and Postoperative Complications After Total Hip Arthroplasty
Section snippets
Database
The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was accessed for use in this study. This database receives information from over 500 hospitals nationwide which prospectively collect data using trained medical chart reviewers [18], [19]. Patient demographics, comorbidities, preoperative laboratory values, and 30-day complication rates are all reported. The methods used by the ACS NSQIP database have been largely discussed in previous
Results
Overall, patients who were functionally dependent before surgery were more likely to experience adverse perioperative outcomes (Table 3). Compared with functionally independent patients, functionally dependent patients were more likely to have prolonged surgeries lasting longer than 120 minutes (odds ratio [OR] = 1.39; 95% confidence interval [CI] 1.24-1.56; P < .001) and prolonged lengths of stay lasting more than 10 days (OR = 2.96; 95% CI 2.09-4.18; P < .001). Dependent patients were also
Discussion
The primary purpose of this study was to analyze the relationship between preoperative functional status and short-term surgical outcomes in patients undergoing primary THA. Previous literature has assessed preoperative functional status's relationship to functional outcomes after TJA, but there is a lack of literature regarding its impact on postoperative morbidity and mortality. This is the first investigation to study the association between preoperative functional status and adverse events
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One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to https://doi.org/10.1016/j.arth.2018.12.037.