Thirty-day postoperative complications and mortality following total knee arthroplasty : Incidence and risk factors among a national sample of 15,321 patients

Journal of Bone and Joint Surgery

Volumn 96, Issue 1, 2014, Pages 20-26

  Belmont, Philip J ^a   Goodman, Gens P ^a   Waterman, Brian R ^a   Bader, Julia O ^a,b   Schoenfeld, Andrew J ^a  

^a Paul L Foster School of Medicine   (United States)

^b UNIVERSITY OF TEXAS AT EL PASO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE KIDNEY FAILURE; ADULT; AGE; AGED; BODY MASS; CEREBROVASCULAR ACCIDENT; DEEP VEIN THROMBOSIS; DEMOGRAPHY; DIABETES MELLITUS; FEMALE; HEART ARREST; HUMAN; INCIDENCE; KIDNEY FAILURE; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MIDDLE AGED; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OBESITY; PERIPHERAL NERVE INJURY; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; REVIEW; SEPTIC SHOCK; SURGICAL INFECTION; SURGICAL MORTALITY; TOTAL KNEE REPLACEMENT; URINARY TRACT INFECTION; WOUND DEHISCENCE; WOUND INFECTION; AGE DISTRIBUTION; ARTICLE; COMORBIDITY; KNEE ARTHROPLASTY; METHODOLOGY; MORTALITY; MULTIVARIATE ANALYSIS; RETROSPECTIVE STUDY; RISK FACTOR; STATISTICAL MODEL; TIME; UNITED STATES; VERY ELDERLY;

AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, KNEE; COMORBIDITY; DIABETES MELLITUS; FEMALE; HUMANS; INCIDENCE; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OBESITY; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; UNITED STATES;

EID: 84894308770     PISSN: 00219355     EISSN: 15351386     Source Type: Journal    
DOI: 10.2106/JBJS.M.00018     Document Type: Review

References (44)

1. Kane RL, Saleh KJ, Wilt TJ, Bershadsky B. The functional outcomes of total knee arthroplasty. J Bone Joint Surg Am. 2005 Aug;87(8):1719-24
2. Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004 May;86(5):963-74
3. Garrett WE Jr., Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix. J Bone Joint Surg Am. 2006 Mar;88(3):660-7
4. Kim S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997-2004. Arthritis Rheum. 2008 Apr 15;59(4):481-8
5. Kurtz S, Ong K, Lau E, Mowat F, HalpernM. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007 Apr;89(4):780-5
6. Parvizi J, Mui A, Purtill JJ, Sharkey PF, Hozack WJ, Rothman RH. Total joint arthroplasty: When do fatal or near-fatal complications occur? J Bone Joint Surg Am. 2007 Jan;89(1):27-32
7. Memtsoudis SG, Della Valle AG, Besculides MC, Gaber L, Laskin R. Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. J Arthroplasty. 2009 Jun;24(4):518-27. Epub 2008 Apr 15
8. Center for Disease Control and Prevention. 2003 National Diabetes Fact Sheet. Available at: http://www.cdc.gov/diabetes/pubs/general.htm. AccessedAugust 28, 2013
9. Center for Disease Control and Prevention. 2011 National Diabetes Fact Sheet. Available at: http://www.cdc.gov/diabetes/pubs/factsheet11.htm. Accessed August 28, 2013
10. National Center of Health Statistics Health E-Stats. Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960-1962 through 2007-2008. Available at http://www.cdc.gov/nchs/data/hestat/ obesity-Adult-07-08/obesity-Adult-07-08.htm. AccessedAugust 28, 2013
11. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, Kington RS, Lane NE, Nevitt MC, Zhang Y, Sowers M, McAlindon T, Spector TD, Poole AR, Yanovski SZ, Ateshian G, Sharma L, Buckwalter JA, Brandt KD, Fries JF. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000 Oct 17;133(8):635-46
12. Manek NJ, Hart D, Spector TD, MacGregor AJ. The association of body mass index and osteoarthritis of the knee joint: an examination of genetic and environmental influences. Arthritis Rheum. 2003 Apr;48(4):1024-9
13. Singh JA, Jensen MR, Harmsen WS, Gabriel SE, Lewallen DG. Cardiac and thromboembolic complications and mortality in patients undergoing total hip and total knee arthroplasty. Ann Rheum Dis. 2011 Dec;70(12):2082-8. Epub 2011 Oct 21
14. Higuera CA, Elsharkawy K, Klika AK, Brocone M, Barsoum WK. 2010 Mid-America Orthopaedic Association Physician in Training Award: predictors of early adverse outcomes after knee and hip arthroplasty in geriatric patients. Clin Orthop Relat Res. 2011 May;469(5):1391-400. Epub 2011 Feb 23
15. Pulido L, Parvizi J, Macgibeny M, Sharkey PF, Purtill JJ, Rothman RH, HozackWJ. In hospital complications after total joint arthroplasty. J Arthroplasty. 2008 Sep;23(6)(Suppl 1):139-45
16. Jain NB, Guller U, Pietrobon R, Bond TK, Higgins LD. Comorbidities increase complication rates in patients having arthroplasty. Clin Orthop Relat Res. 2005 Jun;(435):232-8
17. SooHoo NF, Lieberman JR, Ko CY, Zingmond DS. Factors predicting complication rates following total knee replacement. J Bone Joint Surg Am. 2006 Mar;88(3):480-5
18. Belmont PJ Jr., Davey S, Orr JD, Ochoa LM, Bader JO, Schoenfeld AJ. Risk factors for 30-day postoperative complications and mortality after below-knee amputation: a study of 2,911 patients from the national surgical quality improvement program. J Am Coll Surg. 2011 Sep;213(3):370-8. Epub 2011 Jul 01
19. Schoenfeld AJ, Ochoa LM, Bader JO, Belmont PJ Jr. Risk factors for immediate postoperative complications and mortality following spine surgery: a study of 3475 patients from the National Surgical Quality Improvement Program. J Bone Joint Surg Am. 2011 Sep 7;93(17):1577-82
20. Pugely AJ, Martin CT, Gao Y, Mendoza-Lattes S, Callaghan JJ. Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty. J Bone Joint Surg Am. 2013 Feb 6;95(3):193-9
21. Shiloach M, Frencher SK Jr., Steeger JE, Rowell KS, Bartzokis K, Tomeh MG, Richards KE, Ko CY, Hall BL. Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program. J Am Coll Surg. 2010 Jan;210(1):6-16. Epub 2009 Nov 22
22. Koch CG, Li L, Hixson E, Tang A, Phillips S, Henderson JM. What are the real rates of postoperative complications: elucidating inconsistencies between administrative and clinical data sources. J Am Coll Surg. 2012 May;214(5):798-805. Epub 2012 Mar 14
23. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961 Oct 21;178:261-6
24. Weaver F, Hynes D, Hopkinson W, Wixson R, Khuri S, Daley J, Henderson WG. Preoperative risks and outcomes of hip and knee arthroplasty in the Veterans Health Administration. J Arthroplasty. 2003 Sep;18(6):693-708
25. Cushner F, Agnelli G, FitzGerald G, Warwick D. Complications and functional outcomes after total hip arthroplasty and total knee arthroplasty: results from the Global Orthopaedic Registry (GLORY). Am J Orthop (Belle Mead NJ). 2010 Sep;39(9)(Suppl):22-8
26. Maloney WJ. National Joint Replacement Registries: has the time come? J Bone Joint Surg Am. 2001 Oct;83(10):1582-5
27. Suleiman LI, Ortega G, Ong'uti SK, Gonzalez DO, Tran DD, Onyike A, Turner PL, Fullum TM. Does BMI affect perioperative complications following total knee and hip arthroplasty? J Surg Res. 2012 May 1;174(1):7-11. Epub 2011 Jun 25
28. Bolognesi MP, Marchant MH Jr., Viens NA, Cook C, Pietrobon R, Vail TP. The impact of diabetes on perioperative patient outcomes after total hip and total knee arthroplasty in the United States. J Arthroplasty. 2008 Sep;23(6)(Suppl 1):92-8
29. Dowsey MM, Liew D, Choong PF. Economic burden of obesity in primary total knee arthroplasty. Arthritis Care Res (Hoboken). 2011 Oct;63(10):1375-81
30. Namba RS, Paxton L, Fithian DC, Stone ML. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005 Oct;20(7) (Suppl 3):46-50
31. Ong KL, Lau E, Manley M, Kurtz SM. Patient, hospital, and procedure characteristics influencing total hip and knee arthroplasty procedure duration. J Arthroplasty. 2009 Sep;24(6):925-31. Epub 2008 Oct 05
32. Gill GS, Mills D, Joshi AB. Mortality following primary total knee arthroplasty. J Bone Joint Surg Am. 2003 Mar;85(3):432-5
33. Parvizi J, Sullivan TA, Trousdale RT, Lewallen DG. Thirty-day mortality after total knee arthroplasty. J Bone Joint Surg Am. 2001 Aug;83(8):1157-61
34. Parry MC, Smith AJ, Blom AW. Early death following primary total knee arthroplasty. J Bone Joint Surg Am. 2011 May 18;93(10):948-53
35. Patel AD, Albrizio M. Relationship of body mass index to early complications in knee replacement surgery. Arch Orthop Trauma Surg. 2008 Jan;128(1):5-9. Epub 2007 May 24
36. Jaffer AK, Barsoum WK, Krebs V, Hurbanek JG, Morra N, Brotman DJ. Duration of anesthesia and venous thromboembolism after hip and knee arthroplasty. Mayo Clin Proc. 2005 Jun;80(6):732-8
37. Horlocker TT, Hebl JR, Gali B, Jankowski CJ, Burkle CM, Berry DJ, Zepeda FA, Stevens SR, Schroeder DR. Anesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty. Anesth Analg. 2006 Mar;102(3):950-5
38. Ong KL, Lau E, Manley M, Kurtz SM. Effect of procedure duration on total hip arthroplasty and total knee arthroplasty survivorship in the United States Medicare population. J Arthroplasty. 2008 Sep;23(6)(Suppl 1):127-32. Epub 2008 Jun 13
39. Christensen R, Bartels EM, Astrup A, Bliddal H. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and metaanalysis. Ann Rheum Dis. 2007 Apr;66(4):433-9. Epub 2007 Jan 04
40. Messier SP, Loeser RF, Miller GD, Morgan TM, Rejeski WJ, Sevick MA, Ettinger WH Jr., Pahor M, Williamson JD. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004 May;50(5):1501-10
41. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008 Jul;466(7):1710-5. Epub 2008 Apr 18
42. Kerkhoffs GMMJ, Servien E, Dunn W, Dahm D, Bramer JAM, Haverkamp D. The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-Analysis and systematic literature review. J Bone Joint Surg Am. 2012 Oct 17;94(20):1839-44
43. Dowsey MM, Choong PF. Obese diabetic patients are at substantial risk for deep infection after primary TKA. Clin Orthop Relat Res. 2009 Jun;467(6):1577-81. Epub 2008 Oct 08
44. Galat DD, McGovern SC, Larson DR, Harrington JR, Hanssen AD, Clarke HD. Surgical treatment of early wound complications following primary total knee arthroplasty. J Bone Joint Surg Am. 2009 Jan;91(1):48-54.