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Possible Risk Factors for Severe Complications Occurring after Primary Total Knee Arthroplasty
文献摘要:
Objective Total knee arthroplasty is one of the most common orthopedic surgeries. Readmission due to severe complications after total knee arthroplasty is a grave concern to surgeons. In this study, we evaluated the risk factors for severe complications after primary total knee arthroplasty. Methods We retrospectively collected clinical data of 2,974 patients who underwent primary total knee arthroplasty from July 2013 to June 2019 in our hospital. Postoperative complication ≥ grade Ⅲ was defined as severe complication according to Clavien-Dindo classification system. Binary logistic regression was used to identify the predictive risk factors for severe complications. Results The complication rate after primary total knee arthroplasty was 6.8% and severe complication rate was 2.5%. Male (OR = 2.178, 95%CI: 1.324-3.585, P = 0.002), individuals above 75 years old (OR = 1.936, 95%CI: 1.155-3.244, P = 0.012), arrhythmia (OR = 2.913, 95%CI: 1.350-6.285, P = 0.006) and cerebrovascular disease (OR = 2.804, 95%CI: 1.432-5.489, P = 0.003) were predictive risk factors for severe complications after primary total knee arthroplasty. Conclusion Advanced age, male, arrhythmia, and cerebrovascular disease might be patients-related risk factors for postoperative severe complications after primary total knee arthroplasty. Special attention should be paid to patients with risk factors.
文献关键词:
作者姓名:
Lulu Ma;Xuerong Yu;Xisheng Weng;Jin Lin;Jin Jin;Wenwei Qian;Yuguang Huang
作者机构:
Department of Anesthesiology,Peking Union Medical College Hospi-tal,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Orthopedic Surgery,Peking Union Medical College Hospi-tal,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China
引用格式:
[1]Lulu Ma;Xuerong Yu;Xisheng Weng;Jin Lin;Jin Jin;Wenwei Qian;Yuguang Huang-.Possible Risk Factors for Severe Complications Occurring after Primary Total Knee Arthroplasty)[J].中国医学科学杂志(英文版),2022(04):303-308
A类:
Readmission
B类:
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AB值:
0.534844
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