Current Epidemiology of Revision Total Hip Arthroplasty in the United States: National Inpatient Sample 2009 to 2013

Despite the excellent outcomes associated with primary total hip arthroplasty (THA), implant failure and revision continues to burden the healthcare system. THA failure has evolved and displays variability throughout the literature. In order to understand how THAs are failing and how to reduce this...

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Vydané v:The Journal of arthroplasty Ročník 32; číslo 7; s. 2088 - 2092
Hlavní autori: Gwam, Chukwuweike U., Mistry, Jaydev B., Mohamed, Nequesha S., Thomas, Melbin, Bigart, Kevin C., Mont, Michael A., Delanois, Ronald E.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Elsevier Inc 01.07.2017
Predmet:
Aged
arthroplasty failure
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - economics
Arthroplasty, Replacement, Hip - statistics & numerical data
Databases, Factual
epidemiology
Female
Hip Prosthesis - adverse effects
Humans
Inpatients
Male
Middle Aged
National Inpatient Sample
Orthopedics
Prosthesis Failure
Reoperation - economics
Reoperation - statistics & numerical data
revision
total hip arthroplasty
United States
total hip arthroplasty
epidemiology
National Inpatient Sample
arthroplasty failure
revision
ISSN:0883-5403, 1532-8406, 1532-8406
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Popis
Shrnutí:Despite the excellent outcomes associated with primary total hip arthroplasty (THA), implant failure and revision continues to burden the healthcare system. THA failure has evolved and displays variability throughout the literature. In order to understand how THAs are failing and how to reduce this burden, it is essential to assess modes of implant failure on a large scale. Thus, we report: (1) etiologies for revision THA; (2) frequencies of revision THA procedures; (3) patient demographics, payor type, and US Census region of revision THA patients; and (4) the length of stay and total costs based on the type of revision THA procedure. We queried the National Inpatient Sample database for all revision THA procedures performed between January 1, 2009 and December 31, 2013. This yielded 258,461 revision THAs. Patients specific demographics were identified in order to determine the prevalence of revision procedure performed. Dislocation was the main indication for revision THA (17.3%), followed by mechanical loosening (16.8%). All-component revision was the most common procedure performed (41.8%). Patients were most commonly white (77.4%), aged 75 years and older (31.6%), and resided in the South US Census region (37.0%). The average length of stay for all procedures was 5.29 days. The mean total charge for revision THA procedures was $77,851.24. Dislocation and mechanical loosening is the predominant indication for revision THA in the United States. With the frequency of revision THAs projected to double in the next decade, orthopedists must take steps to mitigate this potentially devastating complication.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0883-5403
1532-8406
1532-8406
DOI:10.1016/j.arth.2017.02.046