Total joint arthroplasty in nonagenarians--a retrospective review of complications and resource use.

Hdl Handle:
http://hdl.handle.net/10147/323817
Title:
Total joint arthroplasty in nonagenarians--a retrospective review of complications and resource use.
Authors:
Baker, Joseph F; Stoyanov, Veselin; Shafqat, Aseer; Lui, Darren F; Mulhall, Kevin J
Affiliation:
Cappagh National Orthopaedic Hospital, Dublin, Ireland. joseph.f.baker@gmail.com
Citation:
Baker JF et al. Total joint arthroplasty in nonagenarians--a retrospective review of complications and resource use. Acta Orthop Belg. 2012, 78 (6):745-50
Publisher:
Acta orthopaedica Belgica
Journal:
Acta orthopaedica Belgica
Issue Date:
Dec-2012
URI:
http://hdl.handle.net/10147/323817
PubMed ID:
23409570
Abstract:
Increased age brings with it the potential for increased surgical risk. Assessment of specific age cohorts is necessary to plan future service provision and this is the case in hip and knee arthroplasty as the demand for these procedures is anticipated to increase. We retrospectively reviewed the outcomes, including complications, length of stay and blood transfusion rate, in a cohort of 35 nonagenarians undergoing primary or revision total hip and knee arthroplasty. All patients were pre-assessed by anaesthetists before being deemed suitable to undergo surgery in the unit. The mean length of hospital stay was 13.7 +/- 10 days (range 2-56). Thirty-one percent of patients required a blood transfusion. Patients who underwent primary total hip arthroplasty reported improved joint specific functional scores. In this appropriately selected group of nonagenarians, we found no evidence to suggest surgery be withheld on the basis of age alone. However, patients with multiple medical comorbidities warrant appropriate assessment and surgical intervention in an institution with appropriate support. Future planning needs to take into account the predicted increase in demand for arthroplasty surgery in this age group.
Item Type:
Article
Language:
en
Keywords:
OLDER PEOPLE; SURGERY
Local subject classification:
SURGERY, ORTHOPAEDIC
MeSH:
Aged, 80 and over; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Comorbidity; Female; Humans; Length of Stay; Male; Postoperative Complications; Reoperation; Retrospective Studies; Treatment Outcome
ISSN:
0001-6462

Full metadata record

DC FieldValue Language
dc.contributor.authorBaker, Joseph Fen_GB
dc.contributor.authorStoyanov, Veselinen_GB
dc.contributor.authorShafqat, Aseeren_GB
dc.contributor.authorLui, Darren Fen_GB
dc.contributor.authorMulhall, Kevin Jen_GB
dc.date.accessioned2014-07-25T12:09:37Z-
dc.date.available2014-07-25T12:09:37Z-
dc.date.issued2012-12-
dc.identifier.citationBaker JF et al. Total joint arthroplasty in nonagenarians--a retrospective review of complications and resource use. Acta Orthop Belg. 2012, 78 (6):745-50en_GB
dc.identifier.issn0001-6462-
dc.identifier.pmid23409570-
dc.identifier.urihttp://hdl.handle.net/10147/323817-
dc.description.abstractIncreased age brings with it the potential for increased surgical risk. Assessment of specific age cohorts is necessary to plan future service provision and this is the case in hip and knee arthroplasty as the demand for these procedures is anticipated to increase. We retrospectively reviewed the outcomes, including complications, length of stay and blood transfusion rate, in a cohort of 35 nonagenarians undergoing primary or revision total hip and knee arthroplasty. All patients were pre-assessed by anaesthetists before being deemed suitable to undergo surgery in the unit. The mean length of hospital stay was 13.7 +/- 10 days (range 2-56). Thirty-one percent of patients required a blood transfusion. Patients who underwent primary total hip arthroplasty reported improved joint specific functional scores. In this appropriately selected group of nonagenarians, we found no evidence to suggest surgery be withheld on the basis of age alone. However, patients with multiple medical comorbidities warrant appropriate assessment and surgical intervention in an institution with appropriate support. Future planning needs to take into account the predicted increase in demand for arthroplasty surgery in this age group.en_GB
dc.language.isoenen
dc.publisherActa orthopaedica Belgicaen_GB
dc.rightsArchived with thanks to Acta orthopaedica Belgicaen_GB
dc.subjectOLDER PEOPLEen_GB
dc.subjectSURGERYen_GB
dc.subject.meshAged, 80 and over-
dc.subject.meshArthroplasty, Replacement, Hip-
dc.subject.meshArthroplasty, Replacement, Knee-
dc.subject.meshComorbidity-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLength of Stay-
dc.subject.meshMale-
dc.subject.meshPostoperative Complications-
dc.subject.meshReoperation-
dc.subject.meshRetrospective Studies-
dc.subject.meshTreatment Outcome-
dc.subject.otherSURGERY, ORTHOPAEDICen_GB
dc.titleTotal joint arthroplasty in nonagenarians--a retrospective review of complications and resource use.en_GB
dc.typeArticleen
dc.contributor.departmentCappagh National Orthopaedic Hospital, Dublin, Ireland. joseph.f.baker@gmail.comen_GB
dc.identifier.journalActa orthopaedica Belgicaen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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