Early Postoperative Outcomes of Primary Total Knee Arthroplasty After Solid Organ Transplantation in the United States, 1998-2011
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- 作者：Alison K. Klika ; MS<sup>asup><sup> ; sup> ; Thomas Myers ; MD<sup>asup> ; Caleb R. Szubski ; BA<sup>asup> ; Nicholas K. Schiltz ; PhD<sup>bsup> ; Suparna Navale ; MS ; MPH<sup>bsup> ; Wael K. Barsoum ; MD<sup>asup>
- 关键词：total knee arthroplasty ; solid organ transplant ; complication ; length of stay ; Nationwide Inpatient Sample
- 刊名：The Journal of Arthroplasty
- 出版年：2015
- 出版时间：October 2015
- 年：2015
- 卷：30
- 期：10
- 页码：1716-1723
- 全文大小：1006 K
文摘
This review of the Nationwide Inpatient Sample (1998–2011) examined trends in solid organ transplant patients who received a total knee arthroplasty (TKA) to determine whether length of stay (LOS), cost, and perioperative complications differed from non-transplant peers. Primary TKA patients (n = 5,870,421) were categorized as: (1) those with a history of solid organ transplant (n = 6104) and (2) those without (n = 5,864,317). Propensity matching was used to estimate adjusted effects of solid organ transplant history on perioperative outcomes. The percentage of TKA patients with a transplant history grew during the study period from 0.069% to 0.103%. Adjusted outcomes showed patients with a transplant had a 0.44 day longer LOS, $962 higher cost of admission, and were 1.43 times more likely to suffer any complication (P = 0.0002).