Artroplastia articular total en nonagenarios: ¿ Cuales son los riesgos?

Total Joint Arthroplasty in Nonagenarians: What Are the Risks?

 

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/26169454

http://www.arthroplastyjournal.org/article/S0883-5403(15)00540-9/abstract

 

De:

Jauregui JJ1, Boylan MR2, Kapadia BH3, Naziri Q3, Maheshwari AV3, Mont MA1.

J Arthroplasty. 2015 Dec;30(12):2102-5.e1. doi: 10.1016/j.arth.2015.06.028. Epub 2015 Jun 20

 

Todos los derechos reservados para:

 

Copyright © 2015. Published by Elsevier Inc.

Abstract

With recent increases in life expectancy in the United States, the number of nonagenarians (age 90-99 years) presenting for lower extremity joint arthroplasty (TJA) will likely rise. Utilizing the National Surgical Quality Improvement Program database, we compared 30-day outcomes of TJA between nonagenarians and controls (age <90 years). Nonagenarians had lower mean BMI, no difference in mean number of comorbidities, and shorter mean operation time. Compared to controls, nonagenarians had longer mean length-of-stay, higher readmission rate, and higher risk of postoperative adverse events. Given these findings, orthopaedic surgeons should be aware of the increased risks of TJA in nonagenarians, and should discuss these risks with potential surgical candidates during a shared decision-making process.

 

Resumen

Con los aumentos recientes en la esperanza de vida en los Estados Unidos, el número de nonagenarians (edad 90-99 años) que presentan para la artroplastia común de la extremidad inferior (TJA) aumentará probablemente. Utilizando la base de datos del Programa Nacional de Mejora de la Calidad Quirúrgica, comparamos los resultados a 30 días de TJA entre nonagenarios y controles (edad <90 años). Los nonagenarios tuvieron un IMC medio menor, ninguna diferencia en el número medio de comorbilidades y un menor tiempo medio de operación. En comparación con los controles, los nonagenarios tuvieron una mayor duración media de estancia, una mayor tasa de reingreso y un mayor riesgo de eventos adversos postoperatorios. Dado estos hallazgos, los cirujanos ortopédicos deben ser conscientes de los mayores riesgos de TJA en nonagenarios, y deben discutir estos riesgos con candidatos potenciales quirúrgicos durante un proceso de toma de decisiones compartido.

 

KEYWORDS:

complications; elderly; nonagenarian; outcomes; total joint arthroplasty

PMID: 26169454  DOI:  10.1016/j.arth.2015.06.028
[PubMed – indexed for MEDLINE]

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