Gupta Puneet, Quan Theodore, Manzi Joseph E, Zimmer Zachary R
Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Weill Cornell Medical College, New York, NY, USA.
Shoulder Elbow. 2022 Oct;14(5):562-567. doi: 10.1177/17585732221077668. Epub 2022 Feb 1.
Octogenarians are at an increased risk of morbidity and mortality following various orthopaedic procedures, but this has not been explored among total elbow arthroplasty (TEA) patients. Thus, this study analyzed whether octogenarians undergoing TEA are at an increased risk of postoperative complications relative to the younger geriatric population.
A national database was queried to identify TEA patients. Patients were stratified into an aged 65 to 79 cohort and an aged 80 to 89 cohort. Demographics, comorbidities, and complications were assessed, with the use of bivariate and multivariate analyzes.
In total, 390 patients underwent TEA, with 289 (74.1%) between the ages of 65 to 79 and 101 (25.9%) between the ages of 80 to 89. On bivariate analyzes, patients aged 80 to 89 were more likely to undergo postoperative transfusion ( = 0.001) compared to those aged 65 to 79. Following adjustment on multivariate analyzes, the aged 80 to 89 cohort no longer had an increased risk of postoperative transfusion. There were no differences in mortality, readmission, and reoperation between the two groups.
Age greater than 80 should not be used as an independent factor when evaluating whether a geriatric patient is an appropriate candidate for TEA.
在接受各种骨科手术后，八旬老人发病和死亡的风险会增加，但全肘关节置换术（TEA）患者中尚未对此进行研究。因此，本研究分析了接受TEA的八旬老人与年轻老年人群体相比，术后并发症风险是否增加。
查询国家数据库以确定TEA患者。将患者分为65至79岁队列和80至89岁队列。评估人口统计学、合并症和并发症，并进行双变量和多变量分析。
共有390例患者接受了TEA，其中289例（74.1%）年龄在65至79岁之间，101例（25.9%）年龄在80至89岁之间。在双变量分析中，80至89岁的患者与65至79岁的患者相比，术后输血的可能性更高（P = 0.001）。在多变量分析进行调整后，80至89岁队列术后输血风险不再增加。两组在死亡率、再入院率和再次手术方面无差异。
在评估老年患者是否适合进行TEA时，不应将年龄大于80岁作为独立因素。
