双侧全髋关节置换术后的围手术期发病率和死亡率。
Perioperative morbidity and mortality following bilateral total hip arthroplasty.
作者信息
Rasouli Mohammad R, Maltenfort Mitchell G, Ross David, Hozack William J, Memtsoudis Stavros G, Parvizi Javad
机构信息
Rothman Institute of Orthopaedics, Thomas Jefferson University, Philadelphia, Pennsylvania.
出版信息
J Arthroplasty. 2014 Jan;29(1):142-8. doi: 10.1016/j.arth.2013.04.001. Epub 2013 May 9.
There is concern about safety of bilateral total hip arthroplasty (THA).This study aims to compare in-hospital complication rates between unilateral, simultaneous and staged bilateral THAs. The Nationwide Inpatient Sample from 2002-2010 was used. Patients and complications were identified using ICD-9-CM codes. In multivariate analysis, bilateral THA had higher risk of systemic complications (Odds ratio (OR): 2.1, P<0.001) compared to unilateral procedure, whereas no significant difference existed between simultaneous and staged bilateral THAs. The rate of local complications was higher in bilateral versus unilateral (4.96% versus 4.54%, P=0.009) and in staged versus simultaneous bilateral THAs (OR: 1.75, P=0.05). Bilateral THA increases risk of systemic complications compared to unilateral surgery and simultaneous bilateral THA appears to be safer than staging during one hospitalization.
双侧全髋关节置换术（THA）的安全性备受关注。本研究旨在比较单侧、同期和分期双侧THA的院内并发症发生率。使用了2002年至2010年的全国住院患者样本。通过ICD-9-CM编码识别患者和并发症。在多变量分析中，与单侧手术相比，双侧THA发生全身并发症的风险更高（优势比（OR）：2.1，P<0.001），而同期和分期双侧THA之间无显著差异。双侧THA的局部并发症发生率高于单侧（4.96%对4.54%，P=0.009），分期双侧THA高于同期双侧THA（OR：1.75，P=0.05）。与单侧手术相比，双侧THA增加了全身并发症的风险，同期双侧THA在一次住院期间似乎比分期更安全。
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