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Factors that influence the mortality of patients following hip hemiarthroplasty.
- Source :
- Arthroplasty; 6/7/2024, Vol. 6 Issue 1, p1-8, 8p
- Publication Year :
- 2024
-
Abstract
- Introduction: Hip hemiarthroplasty (HHA) is one of the most common types of orthopedic surgery. With the prevalence and utilization of the surgery increasing year after year, this procedure is found to be associated with severe postoperative complications and eventually mortality. Thus, it is crucial to understand the factors that increase the risk of mortality following HHA. Methods: Using the Nationwide Inpatient Sample (NIS) database, patients undergoing HHA from 2016 to 2019 were identified. This sample was stratified into a mortality group and a control group. The data regarding patients' demographics, co-morbidities, and associated complications were compared between the groups. Results: Of the 84,067 patients who underwent the HHA procedures, 1,327 (1.6%) patients died. Additionally, the mortality group had a higher percentage of patients who were non-electively admitted (P < 0.001) and diabetic patients with complications (P < 0.001), but lower incidences of tobacco-related disorders (P < 0.001). Significant differences were also seen in age (P < 0.001), length of stay (P < 0.001), and total charges (P < 0.001) between the two groups. Preoperatively, those aged > 70 years (OR: 2.11, 95% CI [1.74, 2.56], P < 0.001) had diabetes without complications (OR: 0.32, 95% CI [0.23, 0.44], P < 0.001), tobacco-related disorders (OR: 0.24, 95% CI [0.17, 0.34], P < 0.001) and increased rates of mortality after HHA. Postoperatively, conditions, such as pulmonary embolisms (OR: 6.62, 95% CI [5.07, 8.65], P < 0.001), acute renal failure (OR: 4.58 95% CI [4.09, 5.13], P < 0.001), pneumonia (95% CI [2.72, 3.83], P < 0.001), and myocardial infarctions (OR: 2.65, 95% CI [1.80, 3.92], P < 0.001) increased likelihood of death after undergoing HHA. Patients who were electively admitted (OR: 0.46 95% CI [0.35, 0.61], P < 0.001) had preoperative obesity (OR: 0.67, 95% CI [0.44, 0.84], P = 0.002), and a periprosthetic dislocation (OR: 0.51, 95% CI [0.31, 0.83], P = 0.007) and were found to have a decreased risk of mortality following THA. Conclusions: Analysis of pre- and postoperative complications relating to HHA revealed that several comorbidities and postoperative complications increased the odds of mortality. Old age, pulmonary embolisms, acute renal failure, pneumonia, and myocardial infraction enhanced the odds of post-HHA mortality. [ABSTRACT FROM AUTHOR]
- Subjects :
- MYOCARDIAL infarction complications
DIABETES complications
MORTALITY risk factors
POSTOPERATIVE care
PULMONARY embolism
RISK assessment
HIP fractures
SURGERY
PATIENTS
T-test (Statistics)
FISHER exact test
ARTHROPLASTY
MULTIVARIATE analysis
DESCRIPTIVE statistics
CHI-squared test
HEMIARTHROPLASTY
ORTHOPEDIC surgery
LONGITUDINAL method
SURGICAL complications
ODDS ratio
QUALITY of life
GERIATRIC assessment
STATISTICS
LENGTH of stay in hospitals
COMPARATIVE studies
CONFIDENCE intervals
DATA analysis software
COMORBIDITY
PERIOPERATIVE care
DISEASE complications
Subjects
Details
- Language :
- English
- Volume :
- 6
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 177742690
- Full Text :
- https://doi.org/10.1186/s42836-024-00247-1