1. Patients with insulin-dependent diabetes are at greater risk for perioperative adverse outcomes following total hip arthroplasty
- Author
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Christopher M. Scanlon, Yehuda E Kerbel, Matthew L. Webb, Marissa A. Justen, Charles L. Nelson, and Jonathan N. Grauer
- Subjects
medicine.medical_specialty ,Multivariate analysis ,business.industry ,Adverse outcomes ,Arthroplasty, Replacement, Hip ,Perioperative ,medicine.disease ,Diabetes Mellitus, Type 1 ,Postoperative Complications ,Diabetes Mellitus, Type 2 ,Risk Factors ,Internal medicine ,Diabetes mellitus ,Insulin dependent diabetes ,Cohort ,Humans ,Insulin ,Medicine ,Orthopedics and Sports Medicine ,Surgery ,business ,Adverse effect ,Retrospective Studies ,Total hip arthroplasty - Abstract
Background: The prevalence of diabetes mellitus (DM) continues to increase among patients undergoing total hip arthroplasty (THA). It is unclear how insulin use is correlated with risk for adverse outcomes. Methods: A cohort of 146,526 patients undergoing primary THA were identified in the 2005–2017 National Surgical Quality Improvement Program database. Patients were classified as insulin-dependent diabetic (IDDM), non-insulin-dependent diabetic (NIDDM), or not diabetic. Multivariate analyses were used. Results: Compared to patients without diabetes, patients with NIDDM were at increased risk for 4 of 17 perioperative adverse outcomes studied. Patients with IDDM were at increased risk for those 4 and 8 additional adverse outcomes (12 of the 17 studied). Conclusion: These findings have important implications for preoperative risk stratification and quality improvement initiatives.
- Published
- 2021
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