UNASSIGNED: Using the PearlDiver Mariner database, ESRD patients, RT patients, and RT candidates undergoing primary THA were identified and compared. Multivariable logistic regression analyses were done for medical complications up to 90 days and surgical complications up to 2 years. Ninety-day emergency department (ED) visits and inpatient readmission were also documented.
UNASSIGNED: A total of 7,868 patients were included: 5,092 had ESRD, 2,520 had RT before THA, and 256 were candidates for RT. Compared to patients with ESRD, RT patients demonstrated lower rates of medical complications such as pneumonia (3.61% vs. 5.99%, p = 0.039) and transfusion (4.60% vs. 7.66%, p < 0.001). Additionally, RT patients displayed decreased rates of surgical complications, including wound complications (2.70% vs. 4.22%, p = 0.001), periprosthetic joint infection (PJI) at 1 year (2.30% vs. 4.81%, p < 0.001) and 2 years (2.58% vs. 5.42%, p < 0.001), and aseptic loosening at 2 years (0.79% vs. 1.43%, p = 0.006). Similarly, when compared to RT candidates, RT patients demonstrated a lower incidence of postoperative complications, including 1-year PJI (2.30% vs. 5.08%, p = 0.013), 2-year PJI (2.58% vs. 5.08%, p = 0.028), 1-year aseptic loosening (0.56% vs. 2.73%, p < 0.001), and 2-year aseptic loosening (0.79% vs. 2.73%, p = 0.005). RT patients also had lower rates of ED visits and hospital readmissions.
UNASSIGNED: Compared to ESRD patients and RT candidates, patients with RT have a significantly lower likelihood of medical complications, PJI, aseptic hardware loosening, ED visits, and hospital readmission. Patients with ESRD on the RT waiting list should delay THA until after RT surgery. For those not eligible for RT, it is vital to take extra precautions to reduce the risk of complications.
■使用PearlDiverMariner数据库,ESRD患者,RT患者,确定并比较接受原发性THA的RT候选者。对长达90天的内科并发症和长达2年的手术并发症进行了多变量逻辑回归分析。还记录了90天的急诊科(ED)就诊和住院再入院。
■总共包括7,868名患者:5,092名患有ESRD,2,520在THA之前有RT,256是RT的候选人。与ESRD患者相比,RT患者的肺炎等医疗并发症发生率较低(3.61%vs.5.99%,p=0.039)和输血(4.60%vs.7.66%,p<0.001)。此外,RT患者手术并发症发生率下降,包括伤口并发症(2.70%vs.4.22%,p=0.001),1年假体周围感染(PJI)(2.30%vs.4.81%,p<0.001)和2年(2.58%vs.5.42%,p<0.001),和无菌性松动在2年(0.79%vs.1.43%,p=0.006)。同样,与RT候选人相比,RT患者术后并发症发生率较低,包括1年期PJI(2.30%与5.08%,p=0.013),2年期PJI(2.58%vs.5.08%,p=0.028),1年无菌性松动(0.56%vs.2.73%,p<0.001),和2年无菌性松动(0.79%vs.2.73%,p=0.005)。RT患者的ED就诊率和再入院率也较低。
■与ESRD患者和RT候选者相比,接受RT的患者发生医疗并发症的可能性明显降低,PJI,无菌硬件松动,ED访问,再入院。RT等待名单上的ESRD患者应将THA推迟到RT手术后。对于那些不符合RT条件的人,采取额外的预防措施以降低并发症的风险至关重要。