The impact of diabetes on perioperative patient outcomes after total hip and total knee arthroplasty in the United States

The Journal of Arthroplasty
Michael P BolognesiThomas Parker Vail

Abstract

The purpose of this study was to determine whether patients with diabetes mellitus (DM) have a higher likelihood of immediate, inpatient complications following primary and revision total hip (THA) and total knee arthroplasty (TKA) than patients without DM. From 1988 to 2003, the Nationwide Inpatient Sample identified 751340 primary or revision THA or TKA patients. 64262 (8.55%) had DM. Comparisons of specific outcome measures between diabetic and nondiabetic cohorts were performed using bivariate and multivariate analyses with logistic regression modeling. Diabetic patients had fewer routine discharges and higher inflation-adjusted hospital charges for all procedures. Although complications were not uniformly increased, diabetic patients had significantly increased odds of pneumonia, stroke, and transfusion (P < .001) after primary arthroplasty. This analysis of a large patient database indicates clinically relevant information for patients and surgeons, suggesting that patients undergoing THA and TKA demonstrate more complications and utilize more resources if they have the comorbidity of DM level II evidence.

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Jun 1, 1993·The Journal of Arthroplasty·B MoeckelP M Pellicci
Jun 16, 2000·The Journal of Bone and Joint Surgery. British Volume·W J GaineS W McCreath
Jul 31, 2001·The Journal of Bone and Joint Surgery. British Volume·F Y ChiuT Y Chaung
Jul 28, 2004·The Journal of Bone and Joint Surgery. British Volume·A W BlomG C Bannister
Oct 11, 2005·The Journal of Arthroplasty·Robert S NambaMary Lou Stone
Feb 1, 2006·The Journal of Arthroplasty·Rajiv GandhiAnthony Adili
Apr 19, 2006·Archives of Surgery·Annika S DrongeRonnie A Rosenthal
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern

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Citations

Sep 4, 2009·Der Orthopäde·B-D Katthagen, A-R Zahedi
Apr 6, 2013·Archives of Orthopaedic and Trauma Surgery·Jie ChenJing Tian
Nov 29, 2014·Current Geriatrics Reports·Pearl LeeLona Mody
Aug 21, 2014·Clinical Orthopaedics and Related Research·Francis LovecchioDavid Manning
Dec 3, 2014·Anesthesiology Clinics·Rebecca L Johnson, Sandra L Kopp
Jun 29, 2014·The Journal of Arthroplasty·Philip J BelmontAndrew J Schoenfeld
Sep 13, 2014·Journal of Shoulder and Elbow Surgery·Aneet S ToorJason L Koh
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Maria A Martinez-HuedoRodrigo Jiménez-Garcia
Nov 16, 2013·The Physician and Sportsmedicine·Theodore S WolfsonLaith M Jazrawi
Apr 22, 2011·The Journal of Arthroplasty·Shaun E Chandran, Nicholas J Giori
Nov 16, 2010·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Kristian BjorgulKhaled J Saleh
Jul 6, 2014·Orthopedics·Brian F DeeganMichael A Foltzer
Jul 28, 2015·Bone·Daniel J GehlingNabil A Ebraheim
Jan 25, 2012·Pharmacoepidemiology and Drug Safety·Jasvinder A SinghMohit Bhandari
May 18, 2011·Diabetes/metabolism Research and Reviews·Josh E SchroederR Eldor
Jun 21, 2015·The Journal of Arthroplasty·Cecily C FroemkePaul J Duwelius
May 28, 2009·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Xiaoqing WangZhen'an Zhu
Apr 12, 2016·The Journal of Arthroplasty·Menachem M MellerEdmund C Lau
Apr 14, 2016·The Journal of Arthroplasty·Timothy L TanAntonia F Chen
Feb 18, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Diego ReáteguiLuis Lozano
Nov 19, 2014·Clinical Orthopaedics and Related Research·Ji Sup HwangTae Kyun Kim
Dec 17, 2014·Journal of Shoulder and Elbow Surgery·David PopeKhaled J Saleh
Sep 2, 2014·Revista española de cirugía ortopédica y traumatología·M de Dios, J Cordero-Ampuero
Apr 28, 2016·The Journal of Arthroplasty·Louis S Stryker
Jul 6, 2016·The Journal of Arthroplasty·Daniel D BohlCraig J Della Valle
Aug 10, 2016·The Journal of Arthroplasty·Carlos J LaverniaMark D Rossi
Aug 27, 2016·Clinical Orthopaedics and Related Research·Menachem M MellerNorman Johanson
Jul 7, 2009·The Orthopedic Clinics of North America·Mohit BhandariLester Little
Dec 20, 2011·Annals of Physical and Rehabilitation Medicine·M DautyC Dubois
Sep 18, 2016·The Orthopedic Clinics of North America·Daniel HatzKhaled J Saleh
Jul 13, 2013·The Journal of Arthroplasty·Yue LiPeter Cram
Aug 25, 2016·The Journal of Arthroplasty·William K OelsnerJonathan G Schoenecker
Dec 17, 2016·Der Orthopäde·T ClaßenM Jäger
Jan 25, 2017·Clinical Orthopaedics and Related Research·Jourdan M CancienneJames A Browne

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