2000 - 2014年美国初次和翻修全关节置换术的住院时间及住院死亡率趋势
Length of stay and inpatient mortality trends in primary and revision total joint arthroplasty in the United States, 2000-2014.
作者信息
Sloan Matthew, Sheth Neil P
机构信息
Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA, 19104, United States.
Department of Orthopaedic Surgery, Pennsylvania Hospital, 800 Spruce Street, 8th Floor, Preston Building, Philadelphia, PA, 19107, United States.
出版信息
J Orthop. 2018 May 7;15(2):645-649. doi: 10.1016/j.jor.2018.05.021. eCollection 2018 Jun.
Abstract
Retrospective review of the National Inpatient Sample was performed. LOS and IHM were assessed among TJA patients and assessed by comorbidity status. LOS among TJA patients decreased from 4.31 to 5.87 days to 2.83-4.49 days. Relative risk for prolonged LOS among high comorbidity patients ranged from 3.01-5.62. IHM per 1,000 was 5.1 for revision THA, 1.8 for revision TKA, 1.1 for primary THA, and 0.4 for primary TKA. Relative risk for IHM in high comorbidity patients ranged from 443.9-780.9 (p < 0.0001). LOS and IHM decreased significantly across all TJA procedures. LOS and IHM among the highest comorbidity groups are unacceptably high.
摘要
对国家住院病人样本进行了回顾性研究。在全关节置换（TJA）患者中评估了住院时间（LOS）和住院死亡率（IHM），并按合并症状态进行了评估。TJA患者的住院时间从4.31至5.87天降至2.83至4.49天。高合并症患者住院时间延长的相对风险范围为3.01至5.62。翻修全髋关节置换术（THA）的每1000例住院死亡率为5.1，翻修全膝关节置换术（TKA）为1.8，初次THA为1.1，初次TKA为0.4。高合并症患者的住院死亡率相对风险范围为443.9至780.9（p<0.0001）。所有TJA手术的住院时间和住院死亡率均显著下降。最高合并症组的住院时间和住院死亡率高得令人无法接受。
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