Factors That Predict Short-term Complication Rates After Total Hip Arthroplasty

• DOI: 10.1007/s11999-010-1354-0
• Publication Date: 2010-04-28T19:41:47Z
• Authors: Nelson F. SooHoo; Eugene Farng; Jay R. Lieberman; Lauchlan Chambers; David S. Zingmond
• Keywords: Male; Time Factors; Arthroplasty, Replacement, Hip; Medicine/Public Health; Comorbidity; Sports Medicine; Surgical Orthopedics; Risk Assessment; California; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Risk Factors; 616; Medicine & Public Health; Ethnicity; Odds Ratio; Humans; Orthopedics and Sports Medicine; Aged; Medicine/Public Health, general; Symposium: Complications of Hip Arthroplasty; Conservative Orthopedics; Age Factors; Middle Aged; Hospitals; Patient Discharge; 3. Good health; Orthopedics; Logistic Models; Treatment Outcome; general; Surgery; Female

There remains uncertainty regarding the relative importance of patient factors such as comorbidity and provider hospital volume in predicting complication rates after total hip arthroplasty (THA).We therefore identified complications THA.We reviewed discharge data from 138,399 patients undergoing primary THA California 1995 to 2005. The rate during first 90 days postoperatively (mortality, infection, dislocation, revision, perioperative fracture, neurologic injury, thromboembolic disease) was regressed against a variety independent variables, including (age, gender, race/ethnicity, income, Charlson score) variables (hospital volume, teaching status, rural location).Compared with treated at high-volume hospitals (above 20th percentile), low-volume (below 60th percentile) had higher aggregate risk having short-term (odds ratio, 2.00). A also associations an increased complications: score, diabetes, rheumatoid arthritis, advanced age, male black race. Hispanic Asian lower risks complications.Patient characteristics affected THA. These results may be useful for educating anticipating different populations.Level II, prognostic study. See Guidelines Authors complete description levels evidence.