Complications and Mortality Following Total Hip Arthroplasty in the Octogenarians: An Analysis of a National Database

Anthony J. Boniello; Matthew S. Simon; Chijindu C. Emenari; Paul M. Courtney

doi:10.1016/j.arth.2017.08.030

Back

Complications and Mortality Following Total Hip Arthroplasty in the Octogenarians: An Analysis of a National Database

Journal article

Peer reviewed

Complications and Mortality Following Total Hip Arthroplasty in the Octogenarians: An Analysis of a National Database

Anthony J. Boniello, Matthew S. Simon, Chijindu C. Emenari and Paul M. Courtney

The Journal of arthroplasty, v 33(7), pp S167-S171

Jul 2018

DOI: https://doi.org/10.1016/j.arth.2017.08.030

PMID: 28947368

Featured in Collection : UN Sustainable Development Goals @ Drexel

Additional Links

Abstract

complications

elderly

high risk patients

octogenarians

risk stratification

total hip arthroplasty

As advances in medicine have increased life expectancy, more octogenarians are undergoing total hip arthroplasty (THA) than ever before. Concerns exist, however, about the safety of performing this elective procedure in this age group. The purpose of this study is to determine the 30-day complications associated with THA patients over 80 years of age and to identify high-risk patients. We queried the American College of Surgeons-National Surgical Quality Improvement Program database for all patients who underwent primary THA from 2011 to 2014. Demographic variables, medical comorbidities, and 30-day complication, readmission, and reoperation rates were compared between patients under vs over 80 years of age. A multivariate logistic regression analysis was then performed to identify independent risk factors of poor short-term outcomes. Of the total 66,839 patients who underwent THA, 7198 (11%) patients were 80 years of age or older. Octogenarians had a higher overall complication rate (29% vs 15%, P < .001) and a higher mortality rate (0.9% vs 0.1%, P < .001). When controlling for other comorbidities, age over 80 years is an independent risk factor for mortality (odds ratio 2.02, 95% confidence interval 1.25-3.26, P = .004) and complications (odds ratio 1.41, 95% confidence interval 1.30-1.525, P < .001) following THA. Malnutrition and chronic kidney disease are also independent risk factors for readmission, complications, and mortality (all P < .05). THA in patients older than 80 years old are at an increased risk of complications and mortality. Octogenarian patients should be counseled on their risk profile, particularly those with malnutrition and chronic kidney disease.

Metrics

4 Record Views

26 citations in Web of Science

27 citations in Scopus

Details

Title: Complications and Mortality Following Total Hip Arthroplasty in the Octogenarians: An Analysis of a National Database
Creators: Anthony J. Boniello - Drexel University
Matthew S. Simon - Drexel University
Chijindu C. Emenari - Drexel University
Paul M. Courtney - Thomas Jefferson University Hospital
Publication Details: The Journal of arthroplasty, v 33(7), pp S167-S171
Publisher: Elsevier
Resource Type: Journal article
Language: English
Web of Science ID: WOS:000436539900033
Scopus ID: 2-s2.0-85029678459
Other Identifier: 991019330623804721

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types: Domestic collaboration
Web of Science research areas: Orthopedics