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DMCA: weruslosestekngerei-ohne-euphorie.info is not responsible for the accuracy, compliance, copyright, legality, decency, or any other aspect of the content of other linked sitesRisk Factors for Postoperative Complications After Same-Day Outpatient Total Hip and Total Knee Arthroplasty.
This study aimed to examine the risk factors for postoperative complications after same-day outpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA) in Japanese patients. A total of 277 patients who underwent THA or TKA in our institution between January 2014 and December 2018 were included in this study. The diagnosis of each complication was reviewed by an independent reviewer, and the following complications were evaluated: dislocation/dislocation-related postoperative complications, deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), infection (including surgical site infection and periprosthetic joint infection [PJI]), and medical complications (i.e., acute kidney injury, gastrointestinal tract (GI) bleeding, and other critical conditions). The odds ratio (OR) with a 95% confidence interval (CI) was calculated as the estimation of the degree of association between the risk factors and postoperative complications. All complications occurred in at least 1 patient. The most common postoperative complication was dislocation. For the patients with THA, dislocation was the most common complication (14.1%), followed by PJI (7.5%). In contrast, for the patients with TKA, PJI was the most common complication (14.3%), followed by dislocation (6.8%). Other major complications, such as dislocation/dislocation-related complications, PTE, and infections were observed in fewer than 5% of patients. Multivariate analysis revealed that female sex (TKA: OR 2.36, 95% CI 1.26-4.43; THA: OR 3.58, 95% CI 1.38-9.35), preoperative intravenous opioid use (TKA: OR 3.67, 95% CI 1.41-9.55; THA: OR 3.49, 95% CI 1.13-10.73), and acute kidney injury (TKA: OR 6.37, 95% CI 1.94-20