UNASSIGNED: The Premier Database was queried for all patients who underwent primary, elective THA from 2015-2020. Patients were divided into 3 groups: CN, RA, or CON-THA. Yearly usage trends were assessed. Univariate and multivariate analyses were performed to assess the 90-day risk of postoperative complications. Opioid consumption was reported in morphine milligram equivalents (MME) for postoperative days (POD) 0 and 1.
UNASSIGNED: Overall, 474,707 elective THAs were identified (95.7% CON, 2.1% CN, 2.2% RA. After accounting for confounders, CN-THA patients were at decreased risk for periprosthetic joint infection (PJI) (aOR: 0.55, p < 0.001) and dislocation (aOR 0.45, p < 0.001), but increased risk for blood transfusion (aOR 1.97, <0.001) compared to CON-THA. RA-THA patients were at decreased risk of dislocation (aOR:0.66, p < 0.001) but increased risk for transfusion (aOR 1.20, p < 0.001), prosthesis breakage (aOR 3.88, p < 0.001), and periprosthetic fracture (aOR 1.72, p < 0.001). Opioid consumption for CN-THA patients was lower on POD1 and lower for RA-THA patients POD0 and 2 compared to CON-THA.
UNASSIGNED: CN-THA was associated with reduced rates of PJI and dislocation, but increased rates of blood transfusion while RA-THA was associated with decreased rates of dislocation, but increased rates of blood transfusion, prosthesis complications, and periprosthetic fracture compared to CON-THA. Technology-assisted THA was associated with lower postoperative opioid consumption.
■查询了Premier数据库中所有接受初治的患者,2015-2020年选修THA。患者分为3组:CN,RA,或CON-THA.评估了年度使用趋势。进行单变量和多变量分析以评估术后并发症的90天风险。据报道,术后第0天和第1天(POD)的阿片类药物消耗量为吗啡毫克当量(MME)。
■总的来说,确定了474,707个选修THA(95.7%CON,2.1%CN,2.2%RA。在考虑了混杂因素之后,CN-THA患者假体周围感染(PJI)(aOR:0.55,p<0.001)和脱位(aOR0.45,p<0.001)的风险降低,但与CON-THA相比,输血风险增加(aOR1.97,<0.001)。RA-THA患者脱位风险降低(aOR:0.66,p<0.001),但输血风险增加(aOR1.20,p<0.001),假体断裂(AOR3.88,p<0.001),和假体周围骨折(aOR1.72,p<0.001)。与CON-THA相比,CN-THA患者的阿片类药物消耗在POD1上较低,RA-THA患者的POD0和2较低。
■CN-THA与PJI和位错率降低有关,但输血率增加而RA-THA与脱位率降低有关,但是输血率增加,假体并发症,与CON-THA相比,假体周围骨折。技术辅助的THA与术后阿片类药物消耗较低相关。