The effect of chronic kidney disease on total hip arthroplasty

Alexander Miric, Maria C S Inacio, Robert S. Namba

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Patients with chronic kidney disease (CKD) undergoing total hip arthroplasty (THA) were evaluated for risk of revision, surgical site infection (SSI), thromboembolic events, mortality and readmission. 20,720 primary TKA cases were included (smaller sample for readmission evaluation, N = 9322). The prevalence of CKD among THA patients was 6.1% (N = 1269). After adjustment for age, gender, race, general health, and diabetes, CKD patients were at 1.4 (95% confidence interval 1.1-1.8) increased risk of readmission within 90 days. The adjusted risks for revision (overall, aseptic, and septic), SSI (deep and superficial), deep vein thrombosis, pulmonary embolism, and mortality (30-day, 90-day, ever) were not significantly different between patients with CKD and those without CKD. However, increased risk for 90-day readmission underscores that CKD patients are a fundamentally different population of patients.

Original languageEnglish
Pages (from-to)1225-1230
Number of pages6
JournalJournal of Arthroplasty
Volume29
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • Hip arthroplasty
  • Implant longevity
  • Kidney disease
  • Mortality
  • Perioperative morbidity
  • Total joint registry

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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