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- Title
Incidence and risk factors of postoperative pulmonary complications following total hip arthroplasty revision: a retrospective Nationwide Inpatient Sample database study.
- Authors
Huang, Liping; Huang, Xinlin; Lin, Junhao; Yang, Qinfeng; Zhu, Hailun
- Abstract
Background: Postoperative pulmonary complications (PPCs) are among the most severe complications following total hip arthroplasty revision (THAR), imposing significant burdens on individuals and society. This study examined the prevalence and risk factors of PPCs following THAR using the NIS database, identifying specific pulmonary complications (SPCs) and their associated risks, including pneumonia, acute respiratory failure (ARF), and pulmonary embolism (PE). Methods: The National Inpatient Sample (NIS) database was used for this cross-sectional study. The analysis included patients undergoing THAR based on NIS from 2010 to 2019. Available data include demographic data, diagnostic and procedure codes, total charges, length of stay (LOS), hospital information, insurance information, and discharges. Results: From the NIS database, a total of 112,735 THAR patients in total were extracted. After THAR surgery, there was a 2.62% overall incidence of PPCs. Patients with PPCs after THAR demonstrated increased LOS, total charges, usage of Medicare, and in-hospital mortality. The following variables have been determined as potential risk factors for PPCs: advanced age, pulmonary circulation disorders, fluid and electrolyte disorders, weight loss, congestive heart failure, metastatic cancer, other neurological disorders (encephalopathy, cerebral edema, multiple sclerosis etc.), coagulopathy, paralysis, chronic pulmonary disease, renal failure, acute heart failure, deep vein thrombosis, acute myocardial infarction, peripheral vascular disease, stroke, continuous trauma ventilation, cardiac arrest, blood transfusion, dislocation of joint, and hemorrhage. Conclusions: Our study revealed a 2.62% incidence of PPCs, with pneumonia, ARF, and PE accounting for 1.24%, 1.31%, and 0.41%, respectively. A multitude of risk factors for PPCs were identified, underscoring the importance of preoperative optimization to mitigate PPCs and enhance postoperative outcomes.
- Subjects
UNITED States; MYOCARDIAL infarction complications; HEMORRHAGE complications; RISK factors of pneumonia; PNEUMONIA; PULMONARY embolism; RISK assessment; CROSS-sectional method; WEIGHT loss; KIDNEY failure; TOTAL hip replacement; PULMONARY circulation; BLOOD coagulation disorders; RESEARCH funding; RESPIRATORY insufficiency; MEDICARE; VENOUS thrombosis; PERIPHERAL vascular diseases; RETROSPECTIVE studies; HOSPITAL mortality; AGE distribution; HEART failure; DESCRIPTIVE statistics; DISEASE prevalence; SURGICAL complications; METASTASIS; NEUROLOGICAL disorders; CHRONIC diseases; JOINT dislocations; REOPERATION; WATER-electrolyte imbalances; LUNG diseases; LENGTH of stay in hospitals; STROKE; CARDIAC arrest; BLOOD transfusion; MEDICAL care costs; PARALYSIS; DISEASE incidence; DISEASE risk factors; DISEASE complications
- Publication
Journal of Orthopaedic Surgery & Research, 2024, Vol 19, Issue 1, p1
- ISSN
1749-799X
- Publication type
Article
- DOI
10.1186/s13018-024-04836-3