Focused Risk Analysis: Regression Model Based on 5,314 Total Hip and Knee Arthroplasty Patients from a Single Institution

Journal of Arthroplasty

Volumn 29, Issue 10, 2014, Pages 2031-2035

  Inneh, Ifeoma A ^a   Lewis, Courtland G ^b   Schutzer, Steven F ^c  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

^b Orthopaedic Associates of Hartford   (United States)

^c SAINT FRANCIS HOSPITAL AND MEDICAL CENTER   (United States)

Author keywords

Complication risk; Risk analysis; Risk assessment in TJA; Risk prediction; Risk prediction in THA; Risk prediction in TKA

Indexed keywords

ADULT; AGED; ANEMIA; ARTICLE; BLOOD CLOTTING DISORDER; CEREBROVASCULAR ACCIDENT; CHRONIC KIDNEY FAILURE; CHRONIC LIVER DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CHRONIC PANCREATITIS; COMORBIDITY; CONGESTIVE HEART FAILURE; CONSTIPATION; CORONARY ARTERY DISEASE; DELIRIUM; DEMENTIA; DEMOGRAPHY; DEPRESSION; DIABETES MELLITUS; DIVERTICULOSIS; FEMALE; GASTROENTERITIS; HEART INFARCTION; HEPATITIS; HIP ARTHROPLASTY; HOSPITAL READMISSION; HUMAN; IRRITABLE COLON; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; OPERATION DURATION; PANCREAS DISEASE; PARALYTIC ILEUS; PARKINSON DISEASE; PERIPHERAL VASCULAR DISEASE; PNEUMONIA; POSTOPERATIVE COMPLICATION; PSYCHOSIS; RESPIRATORY TRACT DISEASE; RISK ASSESSMENT; SLEEP DISORDERED BREATHING; TOTAL KNEE REPLACEMENT; TRANSIENT ISCHEMIC ATTACK; ULCERATIVE COLITIS; URINARY TRACT INFECTION; URINE RETENTION; UROGENITAL TRACT DISEASE; VALVULAR HEART DISEASE; VENOUS THROMBOEMBOLISM; INCIDENCE; KNEE ARTHROPLASTY; MIDDLE AGED; MULTIVARIATE ANALYSIS; POSTOPERATIVE COMPLICATIONS; REGISTER; REOPERATION; RISK FACTOR; STATISTICAL MODEL; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; COMORBIDITY; FEMALE; HUMANS; INCIDENCE; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATIENT READMISSION; POSTOPERATIVE COMPLICATIONS; REGISTRIES; REOPERATION; RISK ASSESSMENT; RISK FACTORS;

EID: 84911002861     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2014.05.007     Document Type: Article

References (32)

1. Khuri S.F., Daley J., Henderson W.G. The comparative assessment and improvement of quality of surgical care in the department of veterans affairs. Arch Surg 2002, 137:20.
2. National surgical quality improvement program 2005, [home page on the Internet], American College of Surgeons, Chicago, IL, [Available at: http://www.acsnsqip.org].
3. Lubke T., Monig S.P., Schneider P.M., et al. Does Charlson-Comorbidity Index correlate with short-term outcome in patients with gastric cancer?. Zentralbl Chir 2003, 128(11):970.
4. Charlson M.E., Pompei P., Ales K.L., et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987, 40:373.
5. Atherly A., Fink A.S., Campbell D.C., et al. Evaluating alternative risk-adjustment strategies for surgery. Am J Surg 2004, 188:566.
6. Athienites N.V., Miskulin D.C., Fernandes G.F., et al. Comorbidity assessment in hemodialysis and peritoneal dialysis using the Index of Coexistent Disease (ICED). Semin Dial 2000, 13:320.
7. Itani K.M.F. Fifteen years of the national surgical quality improvement program in review. Am J Surg 2009, 198(5A):9.
8. Saklad M. Grading of patients for surgical procedures. Anesthesiology 1941, 2:281.
9. Stanford University ROC5 Available at. http://www.stanford.edu/~yesavage/ROC.html.
10. IBM Corp IBM SPSS Statistics for Windows, Version 20.0 2011, Released, IBM Corp, Armonk, NY.
11. Ng V.Y., Lustenberger D., Hoang K., et al. Preoperative risk stratification and risk reduction for total joint reconstruction. AAOS exhibit selection. J Bone Joint Surg Am 2013, 95:E191.
12. Kansagara D., Englander H., Salanitro A., et al. Risk prediction models for hospital readmission: a systematic review. JAMA 2011, 306(15):1688.
13. Moons K.G.M., Kengne A.P., Woodward M., et al. Risk prediction models: I. Development, internal validation, and assessing the incremental value of a new (bio)marker. Heart 2012, 98(9):683.
14. Collins G.S., Moons K.G. Comparing risk prediction models. BMJ 2012, 344:e3186.
15. Saucedo J.M., Marecek G.S., Wanke T.R., et al. Understanding readmission after primary total hip and knee arthroplasty: who's at risk?. J Arthroplasty 2014, 29(2):256.
16. Everhart J.S., Altneu E., Calhoun J.H. Medical comorbidities are independent preoperative risk factors for surgical infection after total joint arthroplasty. Clin Orthop Relat Res 2013, 471(10):3112.
17. Clement R.C., Derman P.B., Graham D.S., et al. Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty 2013, 28(8):7.
18. Somayaji R., Barnabe C., Martin L. Risk factors for infection following total joint arthroplasty in rheumatoid arthritis. Open Rheumatol J 2013, 7:119.
19. Hossain M., Parfitt D.J., Beard D.J., et al. Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?. BMC Musculoskelet Disord 2011, 12:122.
20. Ayers D.C., Franklin P.D., Ploutz-Snyder R., et al. Total knee replacement outcome and coexisting physical and emotional illness. Clin Orthop Relat Res 2005, 440:157.
21. Bellelli G., Frisoni G.B., Turco R., et al. Depressive symptoms combined with dementia affect 12-months survival in elderly patients after rehabilitation post-hip fracture surgery. Int J Geriatr Psychiatry 2008, 23(10):1073.
22. Koulouvaris P., Sculco P., Finerty E., et al. Relationship between perioperative urinary tract infection and deep infection after joint arthroplasty. Clin Orthop Relat Res 2009, 467(7):1859.
23. Ritter M.A., Fechtman R.W. Urinary tract sequelae: possible influence on joint infections following total joint replacement. Orthopedics 1987, 10:467.
24. Sharrock N.E., Finerty E. Hip replacement, hip seeding and epidural anaesthesia. Lancet 2005, 365:1011.
25. Rasouli M.R., Maltenfort M.G., Purtil J.J., et al. Has the rate of in-hospital infections after total joint arthroplasty decreased?. Clin Orthop Relat Res 2013, 417:3102.
26. David T.S., Vrahas M.S. Perioperative lower urinary tract infections and deep sepsis in patients undergoing total joint arthroplasty. J Am Acad Orthop Surg 2000, 8:66.
27. Ong K., Lau E., Manley M., et al. Patient, hospital and procedure characteristics influence total hip and knee arthroplasty procedure duration. J Arthroplast 2009, 24(6):925.
28. Småbrekke A., Espehaug B., Havelin L.I., et al. Operating time and survival of primary total hip replacements: an analysis of 31,745 primary cemented and uncemented total hip replacements from local hospitals reported to the Norwegian Arthroplasty Register 1987-2001. Acta Orthop Scand 2004, 75:524.
29. Jain N.B., Pietrobon R., Guller U., et al. Influence of provider volume on length of stay, operating room time, and discharge status for rotator cuff repair. J Shoulder Elbow Surg 2005, 14(4):407.
30. Bozic K.J., Durbhakula S., Berry D.J., et al. Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty: a multicenter study. J Arthroplasty 2005, 20:17.
31. Bozic K.J., Katz P., Cisternas M., et al. Hospital resource utilization for primary and revision total hip arthroplasty. J Bone Joint Surg Am 2005, 87:570.
32. Ong K.L., Mowat F.S., Chan N., et al. Economic burden of revision hip and knee arthroplasty in Medicare enrollees. Clin Orthop Relat Res 2006, 446:22.