The association of inflammatory bowel disease with postoperative complications, re-admissions and emergency department visits following primary total hip arthroplasty.

IF 1.3 4区医学 Q3 ORTHOPEDICS

HIP International Pub Date : 2024-05-01 Epub Date: 2023-12-10 DOI:10.1177/11207000231216106

Matthew L Magruder, Sofia Hidalgo Perea, Adam M Gordon, Mitchell K Ng, Che Hang Jason Wong

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引用次数: 0

Abstract

Background: Inflammatory bowel disease (IBD) is a systemic inflammatory disorder of the gut. Few studies have evaluated whether patients with a history of IBD have worse outcomes following primary total hip arthroplasty (THA). Therefore, the purpose of this study was to evaluate whether IBD is associated with increased: (1) medical complications; (2) readmissions; and (3) emergency department (ED) visits.

Methods: Using a nationwide claims database, patients with IBD undergoing primary THA were identified and matched to a comparison group according to age, sex and the Charlson Comorbidity Index. Outcomes assessed included the development of 90-day medical complications, 90-day re-admissions and 90-day ED visit rates. A p-value <0.0001 was considered statistically significant.

Results: Patients with IBD had a greater incidence and odds ratio of total medical complications (31.90% vs. 11.47%; OR 2.89; p < 0.0001) compared with matched controls. IBD patients had significantly higher incidence and odds ratio of developing acute kidney injury (5.46 vs. 1.46%; OR 3.92; p < 0.0001), cerebrovascular accident (1.32 vs. 0.35%; OR 3.79; p < 0.0001), pneumonia (4.02 vs. 1.30%; OR 3.19; p < 0.0001), respiratory failure (1.21 vs. 0.41%; OR 2.94; p < 0.0001), deep vein thrombosis (0.89% vs. 0.30%; OR 2.93; p < 0.0001), and other adverse events. IBD patients also had higher incidence and odds ratio of 90-day re-admissions (4.20% vs. 3.23%; OR 1.31; p < 0.0001) and ED visits (6.56% vs. 3.99%; OR 1.69; p < 0.0001).

Conclusions: This study found that patients with IBD are at increased risk of 90-day medical complications, re-admissions, and ED visits. Due to its systemic nature, surgeons operating on these patients should be aware of the disease's extra-intestinal manifestations, and the potential postoperative risks in IBD patients. Providers should use this investigation when educating patients on potential risks of elective THA.

查看原文本刊更多论文

原发性全髋关节置换术后炎症性肠病与术后并发症、再次入院和急诊就诊的关系。

背景：炎症性肠病（IBD）是一种全身性肠道炎症性疾病：炎症性肠病（IBD）是一种全身性肠道炎症性疾病。很少有研究评估有 IBD 病史的患者在接受初级全髋关节置换术 (THA) 后是否会有更差的预后。因此，本研究的目的是评估 IBD 是否与以下情况的增加有关：(1) 医疗并发症；(2) 再入院；(3) 急诊科就诊：方法：利用全国性理赔数据库，确定接受原发性 THA 手术的 IBD 患者，并根据年龄、性别和 Charlson 综合征指数与对比组进行配对。评估结果包括 90 天医疗并发症发生率、90 天再次入院率和 90 天急诊室就诊率。结果IBD 患者总医疗并发症的发生率和几率更高（31.90% vs. 11.47%; OR 2.89; p p p p p p p p p p 结论：本研究发现，IBD 患者发生 90 天医疗并发症、再次入院和急诊就诊的风险更高。由于该病的全身性，为这些患者进行手术的外科医生应了解该病的肠外表现以及 IBD 患者术后的潜在风险。在向患者讲解选择性 THA 的潜在风险时，医疗人员应利用这项调查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIP International 医学-整形外科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology