Chronic Obstructive Pulmonary Disease Is Associated With Short-Term Complications Following Total Hip Arthroplasty

Yakubek, George; Curtis, Gannon L.; Sodhi, Nipun; Faour, Mhamad; Klika, Alison K.; Mont, Michael A.; Barsoum, Wael K.

doi:10.1016/j.arth.2017.12.043

Cited by 34 publications

(21 citation statements)

References 19 publications

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“…Various authors have suggested the importance of the discharge dispostion in patients admitted due to other causes such as COPD or some specific interventions. 39–41 However, with respect to patients with CAP, only Dong et al and the present study have found an association between the discharge dispostion and readmission. Other variables related to the quality of care were studied to assess these aspects but no association with readmission was found.…”

Section: Discussioncontrasting

confidence: 73%

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions

et al. 2018

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ObjectiveHospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.DesignA cross-sectional study.SettingThe study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013–2014 and 2014–2015).ParticipantsWe included patients aged ≥65 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.Main outcome measures30-day readmission.ResultsFactors associated with 30-day readmission were living with a person aged <15 years (adjusted OR (aOR) 2.10, 95% CI 1.01 to 4.41), >3 hospital visits during the 90 previous days (aOR 1.53, 95% CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95% CI 1.24 to 2.45), heart failure (aOR 1.69, 95% CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95% CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95% CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.ConclusionsThis study shows that 11.39% of patients aged ≥65 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.

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Section: Discussioncontrasting

confidence: 73%

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions

et al. 2018

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“…Interestingly, we noted that COPD patients had a shorter operative time as compared to the non-COPD group. A similar finding has been reported in a previous study investigating the impact of COPD on postoperative outcomes in total hip arthroplasty (THA) (12). A plausible reason given by the authors in that study was that surgical and anesthesia teams would attempt to finish cases faster in order to prevent the occurrence of postoperative complications in patients with an already higher baseline co-morbidity burden.…”

Section: Discussionsupporting

confidence: 82%

Chronic obstructive pulmonary disease is an independent predictor for 30-day readmissions following 1- to 2-level posterior lumbar fusions

et al. 2018

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“…10 COPD is an important independent medical risk factor of re-intubation for both noncardiac and cardiac surgery. [11][12][13] In an NSQIP study of approximately 450,000 subjects, the unadjusted rate of re-intubation was 5.5% among those with COPD. 14 A 2-fold increase in the odds of 30-d re-intubation was observed in subjects with a bleeding disorder compared to those without.…”

Section: Discussionmentioning

confidence: 99%

Demographic and Clinical Variables Associated With 30-day Re-Intubation Following Surgical Aortic Valve Replacement

et al. 2020

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BACKGROUND: A retrospective study was performed to evaluate factors associated with 30-d re-intubation following surgical aortic valve repair. We hypothesized a significant increase in the odds of re-intubation among patients with preoperative comorbidities. METHODS: The American College of Surgery National Surgical Quality Improvement Program database from 2007 to 2016 was used to evaluate demographic and clinical factors associated with 30-d re-intubation following surgical aortic valve repair. Multivariable logistic regression was used to report factors associated with 30-d re-intubation while controlling for various patient characteristics. RESULTS: The study population consisted of 5,766 adult subjects who underwent surgical aortic valve repair, of whom 258 (4.47%) were re-intubated within 30 d of surgery. The mean 6 SD age was 69 6 12.98 y, and 3,668 (63.6%) were male. The prevalence of diabetes mellitus, shortness of breath, poor functional status, COPD, congestive heart failure, hypertension, and bleeding disorder was higher among subjects who were re-intubated compared to those who were not (P < .05). Age, severe COPD, congestive heart failure, and bleeding disorder were associated with this outcome. CONCLUSIONS: Age, COPD, congestive heart failure, and bleeding disorder were associated with 30-d re-intubation in this surgical cohort. If surgical aortic valve repair is deemed non-emergent, patients should be optimized preoperatively and receive careful postoperative planning to reduce the risk of postoperative complications.

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Chronic Obstructive Pulmonary Disease Is Associated With Short-Term Complications Following Total Hip Arthroplasty

Abstract: COPD patients are more likely to suffer from postoperative complications following THA when compared to non-COPD patients. Many of these complications are medical, pulmonary evaluation and medical optimization are a critical step in preoperative management for these patients.

Cited by 34 publications

References 19 publications

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions

Chronic obstructive pulmonary disease is an independent predictor for 30-day readmissions following 1- to 2-level posterior lumbar fusions

Demographic and Clinical Variables Associated With 30-day Re-Intubation Following Surgical Aortic Valve Replacement

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