The Effect of Smoking on Short-Term Complications Following Total Hip and Knee Arthroplasty

• DOI: 10.2106/jbjs.n.01016
• Publication Date: 2015-07-01T21:40:53Z
• Authors: Kyle R. Duchman; Yubo Gao; Andrew J. Pugely; Christopher T. Ma...; Nicolas O. Noiseux; John J. Callaghan
• Keywords: Univariate analysis; Joint arthroplasty

Total joint arthroplasty is the most frequently performed orthopaedic procedure in United States. The purpose of present study was to identify differences thirty-day morbidity and mortality following primary total hip knee according smoking status pack-year history smoking.We queried American College Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database patients who had undergone or between 2006 2012. Patients were stratified by smoking. Thirty-day rates mortality, wound complications, complications compared with use univariate multivariate analyses.We identified 78,191 arthroplasty. Of these, 81.8% (63,971) nonsmokers, 7.9% (6158) former smokers, 10.3% (8062) current smokers. Current smokers a higher rate (1.8%) nonsmokers (1.3% 1.1%, respectively; p < 0.001). Former (6.9%) (5.9% 5.4%, Multivariate analysis as being at increased risk (odds ratio [OR], 1.47; 95% confidence interval [CI], 1.21 1.78), particularly deep infection, while both (OR, 1.18; CI, 1.06 1.31) 1.20; 1.08 1.34) complication risk. Increasing resulted increasing risk.On basis our findings, have an