单侧与双侧全膝关节置换术后的围手术期结局
Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty.
作者信息
Suleiman Linda I, Edelstein Adam I, Thompson Rachel M, Alvi Hasham M, Kwasny Mary J, Manning David W
机构信息
Department of Orthopaedic Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
Department of Preventative Medicine, Division of Biostatistics, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
出版信息
J Arthroplasty. 2015 Nov;30(11):1927-30. doi: 10.1016/j.arth.2015.05.039. Epub 2015 May 29.
Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.
同期双侧全膝关节置换术（SB-TKA）可能是一种照顾双侧症状性膝关节炎患者的节省成本的方式。我们使用2010 - 2012年美国外科医师学会国家外科质量改进计划（ACS-NSQIP）进行了一项回顾性分析，以评估SB-TKA术后围手术期并发症的风险。使用倾向评分匹配分析研究了人口统计学特征、合并症和30天并发症发生率，比较了接受单侧TKA和SB-TKA的患者。共有4489名患者符合纳入标准，其中973例行SB-TKA。SB-TKA与总体并发症增加（P = 0.023）、医疗并发症（P = 0.002）和再次手术相关（OR 2.12，P = 0.020）。此外，双侧手术后住院总时长（4.0天对3.4天，P < 0.001）明显更长。
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