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Incidence of Drug Abuse in Revision Total Knee Arthroplasty Population
- Source :
- The Journal of Knee Surgery. 31:928-933
- Publication Year :
- 2018
- Publisher :
- Georg Thieme Verlag KG, 2018.
-
Abstract
- Substance abuse can have strong negative impacts on surgical outcomes. Therefore, this study assessed the effects of drug abuse in total knee arthroplasty (TKA) patients. Specifically, we identified revision TKA (RTKA): (1) incidence, (2) causes, (3) time to revision, and (4) patient demographics in patients with a history of drug abuse. The Medicare database within the PearlDiver Supercomputer (Warsaw, IN) was queried to identify 2,159,221 TKAs performed between 2005 and 2012. Drug abuse was subdivided into cocaine, cannabis, opioids, sedatives/hypnotics/anxiolytics (SHA), amphetamines, and alcohol abusers. The effect of drug use on the incidence and cause for RTKA, time to revision, as well as patient demographics were correlated using multivariate, analysis of variance, and regression analyses. There was a significant increase in the number of primary TKAs in cocaine (p = 0.011), cannabis (p
- Subjects :
- Male
Drug
medicine.medical_specialty
Knee Joint
Substance-Related Disorders
medicine.medical_treatment
media_common.quotation_subject
Population
Comorbidity
Article
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Arthroplasty, Replacement, Knee
education
Aged
Retrospective Studies
media_common
030222 orthopedics
education.field_of_study
biology
business.industry
Incidence
Incidence (epidemiology)
Retrospective cohort study
Middle Aged
biology.organism_classification
medicine.disease
Arthroplasty
United States
Substance abuse
Female
Surgery
Cannabis
Joint Diseases
business
Subjects
Details
- ISSN :
- 19382480 and 15388506
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- The Journal of Knee Surgery
- Accession number :
- edsair.doi.dedup.....4e10f7e116bc31bc7e566c4abe44b2bd