Avaliação de custo e segurança da Artroplastia Total do Joelho Bilateral Simultânea versus Unilateral

Abstract

Objective To measure the cost of simultaneous total knee arthroplasty, as well as the costs of total and intensive care unit (ICU) length of stay, perioperative complications and need for blood transfusion compared to the costs of unilateral procedure in a referral hospital, in Federal District, Brazil. Method The present article is a retrospective study analyzing the medical records of patients admitted for unilateral or bilateral total knee arthroplasty, performed between June 2011 and March 2017. Seventy-four medical records were included in the study for evaluation of data such as total cost of the procedure, comorbidities, complications, days of hospitalization, and need for blood transfusion. Results A significantly higher incidence of deep vein thrombosis (DVT) was found in unilateral procedures. Compared to the other data, no statistically significant differences were found in the relative costs or in the need for blood transfusion. Conclusion There was no increase in the cost or in complications when comparing the simultaneous bilateral knee joint replacement procedure with the unilateral procedure, which corroborates most of the literature.

The BTK Safety Score: A Novel Scoring System for Risk Stratifying Patients Undergoing Simultaneous Bilateral Total Knee Arthroplasty

“…2,[4][5][6][7][8] The potential advantages of si-BTKA over st-BTKA, however, such as reduced total hospital costs, total length of hospital stay, and total rehabilitation time have led to increasing numbers of si-BTKAs being performed annually. 1,[9][10][11][12] Given that safety is the primary concern with si-BTKAs, patient selection is paramount for reducing complication risk.…”

A artroplastia total de joelhos bilateral simultânea pode ser segura

“…5 The technique of TKA with two surgical teams working simultaneously allows the performance of both procedures in the time equivalent to one surgery and under the same amount of anesthesia. Additionally, the patient undergoes only one hospitalization and anesthesia, which can reduce costs, [8][9][10][11][12] and a single physical therapy rehabilitation protocol. This study aimed to evaluate the safety of SBTKA performed by two surgical teams based on clinical parameters, laboratory tests, and any reported complications, as well as to determine patients' satisfaction with the simultaneous procedure.…”

“…5 A técnica de ATJ com duas equipes cirúrgicas atuando simultaneamente viabiliza a realização dos dois procedimentos no tempo equivalente ao de uma cirurgia, com a mesma dose de anestesia. Ademais, o paciente é submetido a apenas uma internação e uma anestesia, o que pode reduzir os custos [8][9][10][11][12] e acarreta uma única reabilitação fisioterápica. O presente estudo teve como objetivos avaliar a segurança da realização da ATJBS realizada por duas equipes cirúrgicas, por meios de parâmetros clínicos, exames laboratoriais e registro de complicações, assim como de verificar a satisfação dos pacientes com o procedimento concomitante.…”