NDLI: Perioperative morbidity and mortality following bilateral total hip arthroplasty.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rasouli, Mohammad R. Maltenfort, Mitchell G. Ross, David Hozack, William J. Memtsoudis, Stavros G. Parvizi, Javad
Spatial Coverage	United States
Description	Author Affiliation: Rasouli MR ( Rothman Institute of Orthopaedics, Thomas Jefferson University, Philadelphia, Pennsylvania.)
Abstract	There is concern about safety of bilateral total hip arthroplasty (THA).This study aims to compare in-hospital complication rates between unilateral, simultaneous and staged bilateral THAs. The Nationwide Inpatient Sample from 2002-2010 was used. Patients and complications were identified using ICD-9-CM codes. In multivariate analysis, bilateral THA had higher risk of systemic complications (Odds ratio (OR): 2.1, P<0.001) compared to unilateral procedure, whereas no significant difference existed between simultaneous and staged bilateral THAs. The rate of local complications was higher in bilateral versus unilateral (4.96% versus 4.54%, P=0.009) and in staged versus simultaneous bilateral THAs (OR: 1.75, P=0.05). Bilateral THA increases risk of systemic complications compared to unilateral surgery and simultaneous bilateral THA appears to be safer than staging during one hospitalization.
File Format	HTM / HTML
ISSN	08835403
Issue Number	1
Volume Number	29
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Adverse Effects Statistics & Numerical Data Trends Databases, Factual Female Humans Male Morbidity Perioperative Period Postoperative Complications Epidemiology United States Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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