Focused risk analysis: regression model based on 5,314 total hip

J Arthroplasty · Oct 2014

Focused risk analysis: regression model based on 5,314 total hip and knee arthroplasty patients from a single institution.

We aimed to identify significant demographic, preoperative comorbidity and surgical predictors for major complications for use in the development of a risk prediction tool for a well-defined population as Total Joint Arthroplasty (TJA) patients. Data on 5314 consecutive patients who underwent primary total hip or knee arthroplasty from October 1, 2008 through September 30, 2011 at a single institution were used in a multivariate regression analysis. ⋯ Significant predictors include certain preexisting genitourinary, circulatory and respiratory conditions; ASA>2; advanced age and prolonged operating time. Mental health conditions demonstrate a strong predictive effect for subsequent serious complication(s) in TJA patients and should be included in a risk-adjustment tool.

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- Ifeoma A Inneh, Courtland G Lewis, and Steven F Schutzer.
- NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
- J Arthroplasty. 2014 Oct 1; 29 (10): 2031-5.
AbstractWe aimed to identify significant demographic, preoperative comorbidity and surgical predictors for major complications for use in the development of a risk prediction tool for a well-defined population as Total Joint Arthroplasty (TJA) patients. Data on 5314 consecutive patients who underwent primary total hip or knee arthroplasty from October 1, 2008 through September 30, 2011 at a single institution were used in a multivariate regression analysis. The overall incidence of a primary endpoint (reoperation during same admission, extended length of stay, and 30-day readmission) was 3.8%. Significant predictors include certain preexisting genitourinary, circulatory and respiratory conditions; ASA>2; advanced age and prolonged operating time. Mental health conditions demonstrate a strong predictive effect for subsequent serious complication(s) in TJA patients and should be included in a risk-adjustment tool.Copyright © 2014 Elsevier Inc. All rights reserved.

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Focused risk analysis: regression model based on 5,314 total hip and knee arthroplasty patients from a single institution.

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