Preoperative hyponatremia is an independent risk factor for postoperative complications in aseptic revision hip and knee arthroplasty.

MedStar author(s):
Citation: Journal of Orthopaedics. 20:224-227, 2020 Jul-Aug.PMID: 32051674Institution: MedStar Georgetown Orthopaedic Institute at Washington Hospital CenterDepartment: Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2020ISSN:
  • 0972-978X
Name of journal: Journal of orthopaedicsAbstract: Conclusion: Hyponatremia is an independent risk factor for several postoperative complications in aseptic revision hip and knee arthroplasty. Copyright (c) 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.Introduction: The purpose of this study is to investigate the relationship between preoperative hyponatremia and postoperative complications in aseptic revision hip and knee arthroplasty.Methods: Aseptic revision arthroplasties from 2007 to 2016 were collected using a large, United States database. Patients were stratified into eunatremic and hyponatremic cohorts. Rates of complications were collected and analyzed.Results: 25,517 surgeries were evaluated. Preoperative hyponatremia was independently associated with organ/space infections (OR= 2.316; p<0.001), postoperative blood transfusions (OR= 1.467; p<0.001), pneumonia (OR= 2.05; p =0.002), sepsis (OR= 2.533; p<0.001), extended length-of-stay (OR= 2.221; p<0.001), minor complications (OR= 1.549; p<0.001), wound complications (OR= 1.505; p=0.001), pulmonary complications (OR= 1.72; p=0.007), and sepsis complications (OR= 2.305; p<0.001).All authors: Ast MP, Chen AZ, Chen FR, Fassihi SC, Gu A, Liu J, Sculco PK, Thakkar S, Unger ASFiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-02-26
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Conclusion: Hyponatremia is an independent risk factor for several postoperative complications in aseptic revision hip and knee arthroplasty. Copyright (c) 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Introduction: The purpose of this study is to investigate the relationship between preoperative hyponatremia and postoperative complications in aseptic revision hip and knee arthroplasty.

Methods: Aseptic revision arthroplasties from 2007 to 2016 were collected using a large, United States database. Patients were stratified into eunatremic and hyponatremic cohorts. Rates of complications were collected and analyzed.

Results: 25,517 surgeries were evaluated. Preoperative hyponatremia was independently associated with organ/space infections (OR= 2.316; p<0.001), postoperative blood transfusions (OR= 1.467; p<0.001), pneumonia (OR= 2.05; p =0.002), sepsis (OR= 2.533; p<0.001), extended length-of-stay (OR= 2.221; p<0.001), minor complications (OR= 1.549; p<0.001), wound complications (OR= 1.505; p=0.001), pulmonary complications (OR= 1.72; p=0.007), and sepsis complications (OR= 2.305; p<0.001).

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