دورية أكاديمية
Timing of Renal Transplant Prior to Total Knee Arthroplasty Impacts 90-Day Postoperative Outcomes.
| العنوان: | Timing of Renal Transplant Prior to Total Knee Arthroplasty Impacts 90-Day Postoperative Outcomes. |
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| المؤلفون: | Cochrane NH; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina., Kim BI; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina., Seyler TM; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina., Bolognesi MP; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina., Ryan SP; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina., Ledford CK; Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, Florida. |
| المصدر: | The Journal of arthroplasty [J Arthroplasty] 2024 Mar 22. Date of Electronic Publication: 2024 Mar 22. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New Brunswick, NJ : Taylor and Francis Original Publication: [New York, NY : Churchill Livingstone, c1986- |
| مستخلص: | Background: Renal transplant (RT) patients are at increased risk for complications after total knee arthroplasty (TKA); however, it is unknown if the time from RT to TKA influences such risks. This study evaluated RT patients undergoing primary TKA at various time intervals after transplant. We hypothesized that increased time between RT and TKA would decrease the risk of complications after TKA. Methods: There were 499 RT patients in a national database undergoing subsequent primary TKA from 2010 to 2020. Patients were stratified by intervals of less than 1 year, between 1 and 2 years, and more than 2 years from RT to TKA. Medical complications up to 90 days, readmissions, and 2-year revisions were compared via univariable and multivariable analyses. Results: Patients who underwent TKA less than 1 year after RT were associated with higher 90-day medical complications when compared to those who underwent TKA 1 to 2 years after RT (odds ratio [OR] 0.4, confidence interval [CI] 0.2 to 0.8, P = .01) and more than 2 years (OR 0.3, CI 0.2 to 0.7, P < .01) after RT. Acute kidney injury and blood transfusion were the most common complications. The TKAs performed 2 years after RT were less likely to have 90-day readmissions when compared to TKAs performed less than 1 year after RT (OR 0.4, CI: 0.2 to 0.9, P < .01). However, time from RT to TKA did not increase the risk of revision at 2 years (P > .30). Conclusions: Patients undergoing TKA within 1 year of RT have an increased risk of 90-day postoperative medical complications and readmissions, but the time interval from RT does not appear to affect revision risk. These findings suggest waiting 1 year after RT before proceeding with TKA may be advantageous. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Renal transplant; complications; readmissions; revision arthroplasty; total knee arthroplasty |
| تواريخ الأحداث: | Date Created: 20240324 Latest Revision: 20240422 |
| رمز التحديث: | 20240423 |
| DOI: | 10.1016/j.arth.2024.03.037 |
| PMID: | 38522801 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8406 |
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| DOI: | 10.1016/j.arth.2024.03.037 |