Cardiovascular disease predicts complications following bilateral total knee arthroplasty under a single anesthetic

Peskun, Christopher; Mayne, Ian P.; Malempati, Harsha; Kosashvili, Yona; Gross, Allan E.; Backstein, David

doi:10.1016/j.knee.2011.09.010

Cited by 19 publications

(9 citation statements)

References 26 publications

(51 reference statements)

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“…After same-day BTKAs, admission to an environment in which the patient's condition can be closely monitored is advisable given the risk of hemodynamic instability and the potential requirement for intensive care [37,38]. Attentive postoperative medical management is indicated in these patients including laboratory testing, assessment of organ function, and pain management.…”

Section: Postoperative Managementmentioning

confidence: 99%

Consensus Statement from the Consensus Conference on Bilateral Total Knee Arthroplasty Group

Memtsoudis

Hargett

Russell

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Section: Postoperative Managementmentioning

confidence: 99%

Consensus Statement from the Consensus Conference on Bilateral Total Knee Arthroplasty Group

Memtsoudis

Hargett

Russell

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Previous studies have compared the outcome and complications of staged bilateral TKAs and simultaneous bilateral TKA. Simultaneous TKA has been shown to have an increased blood loss, 3 mortality, 4,5 and medical complications, 6,7 especially cardiovascular complications 8,9 and pulmonary embolism. 4 On the other hand, simultaneous TKA has been found to cost less, 10,11 have a lower risk of periprosthetic joint infection (PJI), and decreased risk of need for revision.…”

mentioning

confidence: 99%

Staged Bilateral Total Knee Arthroplasty: Time of the Second Side

et al. 2014

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The purpose of this study was to determine if there was a safe time frame for performing the second total knee arthroplasty (TKA) in staged bilateral TKAs. Retrospectively, 589 TKAs were studied at a single institution from January 2000 to June 2012. Patients were excluded if they underwent simultaneous or staggered bilateral TKA during the same hospitalization. Patients were included if they underwent bilateral staged TKA during a different hospitalization within 21 to 90, 91 to 180, 181 to 270, and 271 to 360 days after the first TKA. In-hospital complications were determined using International Classification of Diseases, Ninth Revision codes for cardiac, pulmonary, urinary, deep vein thrombosis, wound complications, mechanical complications, and wound infections. Periprosthetic joint infection (PJI) was determined by hospital readmission records. There were 29 postoperative complication events (4.9%) and there was no difference between time groups and complications. The highest rates of PJI occurred when the second TKA was performed after 271 to 360 days (3.6%), followed by the early postoperative period after 21 to 90 days (2.7%). We could not identify a time frame for performing the second TKA in staged bilateral TKAs to reduce complications. A signal from the study suggests that complications, particularly PJI, may be lower if the second TKA is performed more than 90 days and less than 270 days after the first TKA, although this finding was not significant.

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“…Following BTKA, morbidity risk factors have been already studied. 9,[25][26][27] However, blood transfusion type as a risk factor for complications has not been evaluated yet. To the best of our knowledge, present study is the first who directly compares the development of systemic major or minor and local complication between patient groups receiving pure autologous, pure allogeneic or combined transfusion in a same-day BTKA cohort.…”

Section: Discussionmentioning

confidence: 99%

Does blood transfusion type affect complication and length of stay following same-day bilateral total knee arthroplasty?

Soranoglou

Poultsides

Wanivenhaus

et al. 2018

Journal of Orthopaedics

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Same-day Bilateral Total Knee Arthroplasty (BTKA) safety is still controversial. The aim of this study was to examine the association of blood transfusion type (pure autologous, pure allogeneic, and combined) with complication and prolonged length of stay (PLOS) following same-day BTKA. 649 consecutive patients were retrospectively identified over a two-year period. Pure allogeneic transfusions were associated with increased odds of minor complication when compared to patients who had pure autologous transfusions. No association was found between blood transfusion type and major complication or PLOS. Our results suggest that blood transfusion type may be influential in minor complication after BTKA.

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Cardiovascular disease predicts complications following bilateral total knee arthroplasty under a single anesthetic

Cited by 19 publications

References 26 publications

Consensus Statement from the Consensus Conference on Bilateral Total Knee Arthroplasty Group

Consensus Statement from the Consensus Conference on Bilateral Total Knee Arthroplasty Group

Staged Bilateral Total Knee Arthroplasty: Time of the Second Side

Does blood transfusion type affect complication and length of stay following same-day bilateral total knee arthroplasty?

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