دورية أكاديمية
Primary total hip arthroplasty in patients older than 90 years of age: a retrospective matched cohort study.
| العنوان: | Primary total hip arthroplasty in patients older than 90 years of age: a retrospective matched cohort study. |
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| المؤلفون: | Kurapatti M; NYU Langone Orthopedic Center, New York, NY, USA., Patel V; NYU Langone Orthopedic Center, New York, NY, USA., Arraut J; NYU Langone Orthopedic Center, New York, NY, USA., Oakley C; NYU Langone Orthopedic Center, New York, NY, USA., Rozell JC; NYU Langone Orthopedic Center, New York, NY, USA., Schwarzkopf R; NYU Langone Orthopedic Center, New York, NY, USA. |
| المصدر: | Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2023 Jul; Vol. 33 (4), pp. 628-632. Date of Electronic Publication: 2022 Mar 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9200413 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6067 (Electronic) Linking ISSN: 11207000 NLM ISO Abbreviation: Hip Int Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Thousand Oaks, CA : SAGE Publishing Original Publication: Milano, Italy : Wichtig, c1991- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Hip*/adverse effects, Humans ; Aged, 80 and over ; Retrospective Studies ; Cohort Studies ; Risk Factors ; Length of Stay ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Patient Discharge |
| مستخلص: | Introduction: Advanced age is considered a major risk factor for postoperative complications in total hip arthroplasty (THA). Consequently, older patients undergoing THA may require more detailed pre-procedural examinations and more healthcare resources postoperatively than younger patients. The purpose of this study was to compare discharge parameters and complication rates of THA in patients ⩾90 years old to those <90 years old. Methods: A retrospective review of 14,824 THA patients from 2011 to 2021 at a high-volume, urban academic centre was conducted. Patients ⩾90 years old were propensity-matched to a control group of patients aged <90 years old. Patient demographics, surgical time, hospital length of stay (LOS), discharge disposition, and 90-day revision, readmission, and mortality rates were collected. Demographic differences and outcomes were assessed using chi-square and independent sample t -tests. Results: After propensity matching, the average age in the younger cohort (YC, n = 54) was 75.81 ± 7.89, and 91.61 ± 1.73 for the older cohort (OC, n = 54). The OC had a longer LOS than the YC (mean 3.90 vs. 3.06 days; p = 0.031). Discharge disposition significantly differed ( p = 0.007); older patients were more likely to be discharged to skilled nursing facilities (33.3% vs. 14.8%) or acute rehabilitation centres (14.8% vs. 3.7%) and less likely to be discharged to prior place of residence (home self-managed/home with services, 51.9% vs. 79.6%). There was no significant difference in surgical time (93.87 ± 29.75 vs. 96.09 ± 26.31 min; p = 0.682), 90-day revision rate (3.7% vs. 0%; p = 0.153), 90-day readmission rate (9.4% vs. 3.7%; p = 0.543), and 90-day mortality rate (1.9% vs. 1.9%; p = 1.000). Conclusions: Although THA patients over 90 years of age had a longer LOS and differing discharge disposition, these patients had similar complications compared to their younger counterparts. Thus, our study supports similar efficacy of THA in patients 90 years and older relative to younger THA candidates. |
| فهرسة مساهمة: | Keywords: Centenarian; nonagenarian; outcomes; total hip arthroplasty |
| تواريخ الأحداث: | Date Created: 20220309 Date Completed: 20230711 Latest Revision: 20230718 |
| رمز التحديث: | 20230718 |
| DOI: | 10.1177/11207000221082251 |
| PMID: | 35259975 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1724-6067 |
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| DOI: | 10.1177/11207000221082251 |