Miric Alexander, Inacio Maria C S, Kelly Matthew P, Namba Robert S
Southern California Permanente Medical Group, Los Angeles Medical Center.
Southern California Permanente Medical Group, Surgical Outcomes and Analysis.
J Arthroplasty. 2015 Aug;30(8):1324-7. doi: 10.1016/j.arth.2015.03.008. Epub 2015 Mar 14.
A greater number of patients aged 90 and over will become candidates for total hip arthroplasty (THA) as the nonagenarian population continues to grow. This study evaluated the patient characteristics and incidence of postoperative morbidity and mortality of 183 nonagenarian THA patients among 43,543 primary THA patients followed by a total joint replacement registry. Nonagenarians had a greater number of comorbidities preoperatively, experienced a higher one year mortality and had a longer hospital length of stay. However, nonagenarians did not have an increased risk of infection, deep vein thrombosis or pulmonary embolism and postoperative mortality was within expected rates for individuals 90 years and older. Higher readmission rates, however, highlight the benefits of close follow up during a prolonged postoperative period.
随着九旬老人数量的持续增长，越来越多90岁及以上的患者将成为全髋关节置换术（THA）的候选对象。本研究通过一个全关节置换登记系统，对43543例初次THA患者中的183例九旬老人THA患者的患者特征、术后发病率和死亡率进行了评估。九旬老人术前合并症更多，一年死亡率更高，住院时间更长。然而，九旬老人发生感染、深静脉血栓形成或肺栓塞的风险并未增加，术后死亡率在90岁及以上个体的预期范围内。不过，较高的再入院率凸显了术后长期密切随访的益处。
