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有或无骨坏死患者全髋关节置换术后并发症发生率的比较。

A comparison of the incidence of complications following total hip arthroplasty in patients with or without osteonecrosis.

作者信息

Stavrakis A I, SooHoo N F, Lieberman J R

机构信息

Department of Orthopaedic Surgery, University of California Los Angeles, Los Angeles, California; UCLA Santa Monica Orthopaedic Center, 1250 16th Street, Suite 2100, Santa Monica, CA 90404.

Department of Orthopaedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California; Department of Orthopaedic Surgery, Keck School of Medicine of USC, University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033.

出版信息

J Arthroplasty. 2015 Jan;30(1):114-7. doi: 10.1016/j.arth.2014.08.010. Epub 2014 Aug 14.

Abstract

Osteonecrosis (ON) is a common cause of hip arthritis requiring arthroplasty (THA). ON patients often have associated conditions that place them at a greater risk for complications. The aim of this study is to determine complication rates of ON versus other THA patients. Statewide hospital admissions for THA were identified (1995-2010). THA procedures and ON diagnosis were identified using ICD-9 codes. Logistic regression analysis was used to determine the role of ON as a predictor of complications. ON led to an increased risk of sepsis and readmission. There was no significant difference in mortality rate. This study demonstrates that patients with ON undergoing THA have increased rates of readmission and sepsis. These findings are helpful in allocating resources for treating this patient group.

摘要

骨坏死(ON)是需要进行关节置换术(THA)的髋关节炎的常见病因。骨坏死患者通常伴有其他病症,这使他们发生并发症的风险更高。本研究的目的是确定骨坏死患者与其他接受全髋关节置换术患者的并发症发生率。确定了全州范围内全髋关节置换术的住院病例(1995 - 2010年)。使用国际疾病分类第九版(ICD - 9)编码确定全髋关节置换术程序和骨坏死诊断。采用逻辑回归分析来确定骨坏死作为并发症预测指标的作用。骨坏死会增加败血症和再次入院的风险。死亡率没有显著差异。本研究表明,接受全髋关节置换术的骨坏死患者再次入院率和败血症发生率更高。这些发现有助于为治疗该患者群体分配资源。

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