Poultsides Lazaros A, Rasouli Mohammad R, Maltenfort Mitchell G, Parvizi Javad, Memtsoudis Stavros G, Sculco Thomas P
Department of Orthopaedic Surgery, Division of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York.
Rothman Institute of Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
J Arthroplasty. 2014 Sep;29(9):1713-6. doi: 10.1016/j.arth.2014.04.021. Epub 2014 Apr 24.
Between 2000 and 2009 demographics, comorbidity, complications, and 30-day mortality following same-day BTKA (SBTKA) in two high-volume institutions were obtained. Two 5-year periods were created to facilitate trend analysis. The percentage of SBTKA decreased by 36.2% in the latter period. A decline in mean age reflected mainly by a 50% decrease in patients >75 years was observed. The average LOS decreased (5.7 vs. 4.5 days). Overall, selected patients were healthier in the second period. The prevalence of CAD and obesity decreased, whereas hypercholesteremia increased. The overall complication rate decreased by 55.5%; reduction in cardiac adverse events and acute posthemorrhagic anemia was observed. The rate of PE and 30-day mortality was unchanged with time. A need for more selective preoperative screening for potential candidates of SBTKAs is indicated.
在2000年至2009年期间，获取了两家大型机构中同日全膝关节置换术（SBTKA）后的人口统计学、合并症、并发症及30天死亡率数据。创建了两个5年时间段以利于趋势分析。在后一时期，SBTKA的百分比下降了36.2%。观察到平均年龄下降，主要表现为75岁以上患者减少了50%。平均住院时间缩短（5.7天对4.5天）。总体而言，后一时期选定患者的健康状况更好。冠心病和肥胖症的患病率下降，而高胆固醇血症增加。总体并发症发生率下降了55.5%；观察到心脏不良事件和急性出血后贫血减少。肺栓塞发生率和30天死亡率随时间未变。这表明需要对SBTKA的潜在候选者进行更具选择性的术前筛查。
