دورية أكاديمية
أعرض في EDS

Unicompartmental Knee Arthroplasty vs Total Knee Arthroplasty: A Risk-adjusted Comparison of 30-day Outcomes Using National Data From 2014 to 2018.

التفاصيل البيبلوغرافية
العنوان: Unicompartmental Knee Arthroplasty vs Total Knee Arthroplasty: A Risk-adjusted Comparison of 30-day Outcomes Using National Data From 2014 to 2018.
المؤلفون: Suarez JC; Miami Orthopedics & Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL, USA., Saxena A; Center for Advanced Analytics, Baptist Health South Florida, Coral Gables, FL, USA., Arguelles W; Center for Advanced Analytics, Baptist Health South Florida, Coral Gables, FL, USA., Watson Perez JM; University of Puerto Rico, School of Medicine, San Juan, PR, USA., Ramamoorthy V; Center for Advanced Analytics, Baptist Health South Florida, Coral Gables, FL, USA., Hernandez Y; Miami Orthopedics & Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL, USA., Osondu CU; Miami Orthopedics & Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL, USA.
المصدر: Arthroplasty today [Arthroplast Today] 2022 Aug 29; Vol. 17, pp. 114-119. Date of Electronic Publication: 2022 Aug 29 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101681808 Publication Model: eCollection Cited Medium: Print ISSN: 2352-3441 (Print) Linking ISSN: 23523441 NLM ISO Abbreviation: Arthroplast Today Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Maryland Heights, MO] : Elsevier, [2015]-
مستخلص: Background: When clinically indicated, the choice of performing a total knee arthroplasty (TKA) vs a unicompartmental knee arthroplasty (UKA) is dictated by patient and surgeon preferences. Increased understanding of surgical morbidity may enhance this shared decision-making process. This study compared 30-day risk-adjusted outcomes in TKA vs UKA using a national database.
Methods: We analyzed data from the National Safety and Quality Improvement Program database, for patients who received TKA or UKA between 2014-2018. The main outcomes were blood transfusion, operation time, length of stay, major complication, minor complication, unplanned reoperation, and readmission. Comparisons of odds of the outcomes of interest between TKA and UKA patients were analyzed using multivariate regression models accounting for confounders.
Results: We identified 274,411 eligible patients, of whom 265,519 (96.7%) underwent TKA, while 8892 (3.3%) underwent UKA. Risk-adjusted models that compared perioperative and postoperative outcomes of TKA and UKA showed that the odds of complications such as blood transfusion (adjusted odds ratio [aOR], 19.74; 95% confidence interval [CI]: 8.19-47.60), major (aOR, 1.87; 95% CI: 1.27-2.77) and minor complications (aOR, 1.43; 95% CI: 1.14-1.79), and readmission (aOR, 1.41; 95% CI: 1.16-1.72) were significantly higher among patients who received TKA than among those who received UKA. In addition, operation time (aOR, 7.72; 95% CI: 6.72-8.72) and hospital length of stay (aOR, 1.11; 95% CI: 1.05-1.17) were also higher among the TKA recipients compared to those who received UKA.
Conclusions: UKA is associated with lower rates of adverse perioperative outcomes compared to TKA. Clinical indications and surgical morbidity should be considered in the shared-decision process.
(© 2022 The Authors.)
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فهرسة مساهمة: Keywords: Outcomes; Partial; Total knee arthroplasty; Unicompartmental knee arthroplasty
تواريخ الأحداث: Date Created: 20220909 Latest Revision: 20220912
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9445223
DOI: 10.1016/j.artd.2022.06.017
PMID: 36082284
قاعدة البيانات: MEDLINE
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