Total joint arthroplasty in nonagenarians--a retrospective review of complications and resource use.
Baker, Joseph F Stoyanov, Veselin Shafqat, Aseer Lui, Darren F Mulhall, Kevin J
Baker, Joseph F
Stoyanov, Veselin
Shafqat, Aseer
Lui, Darren F
Mulhall, Kevin J
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Advisors
Editors
Other Contributors
Date
2012-12
Date Submitted
Keywords
OLDER PEOPLE
SURGERY
SURGERY
Other Subjects
SURGERY, ORTHOPAEDIC
Subject 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
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Comorbidity
Female
Humans
Length of Stay
Male
Postoperative Complications
Reoperation
Retrospective Studies
Treatment Outcome
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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.
Language
en
ISSN
0001-6462
eISSN
ISBN
DOI
PMID
23409570