Extended length of stay in diabetic octogenarians following revision total hip arthroplasty

Authors

Puneet Gupta, Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Theodore Quan, Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA. teddyquan@gwu.edu.
Chirag J. Patel, Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Joseph E. Manzi, Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10021, USA.
Alex Gu, Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Sean Tabaie, Department of Orthopaedic Surgery, Children's National Health System, Washington, DC, USA.
Joshua C. Campbell, Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.

Document Type

Journal Article

Publication Date

5-10-2022

Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

DOI

10.1007/s00590-022-03277-0

Keywords

Complications; Diabetes; Geriatrics; Octogenarians; Revision total hip arthroplasty

Abstract

PURPOSE: Past research has shown diabetic patients, including those of geriatric age, to be at an increased risk of postoperative complications following various surgeries, including revision total hip arthroplasty (rTHA). However, whether these risks are disproportionately greater in octogenarian patients has not been well investigated. This study aimed to determine whether diabetic octogenarians are at an increased risk of postoperative complications following rTHA. METHODS: The national surgical quality improvement program database was used to identify all diabetic patients who underwent rTHA from 2007 to 2018. Patients were divided into two groups: an aged 65 to 79 cohort and an aged 80 to 89 cohort. Patient demographics, comorbidities, and postoperative complications were assessed and compared between the two aged cohorts, with the utilization of bivariate and multivariate analyses. RESULTS: Of the 1184 diabetic patients who underwent rTHA, 906 (76.5%) patients were in the aged 65 to 79 cohort and 278 (23.5%) patients were in the aged 80 to 89 cohort. After adjusting for patient demographics and medical comorbidities, compared to patients in the aged 65 to 79 group, diabetic patients who were 80 to 89 years old were found to have an increased risk of extended length of hospital stay (OR 1.67; p = 0.017). CONCLUSION: Diabetic octogenarian patients have an increased risk for a prolonged hospital stay following rTHA relative to their younger diabetic geriatric counterparts. Orthopedic surgeons should be aware of these increased risks to properly educate diabetic octogenarians and assist in surgical management decision making in these patients considering rTHA.

APA Citation

Gupta, Puneet; Quan, Theodore; Patel, Chirag J.; Manzi, Joseph E.; Gu, Alex; Tabaie, Sean; and Campbell, Joshua C., "Extended length of stay in diabetic octogenarians following revision total hip arthroplasty" (2022). GW Authored Works. Paper 973.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/973

Department

Emergency Medicine