Meyer, Matthias and Parik, Lukas and Leiss, Franziska and Renkawitz, Tobias and Grifka, Joachim and Weber, Markus (2020) Hospital Frailty Risk Score Predicts Adverse Events in Primary Total Hip and Knee Arthroplasty. JOURNAL OF ARTHROPLASTY, 35 (12). 3498-+. ISSN 0883-5403, 1532-8406
Full text not available from this repository.Abstract
Background: The Hospital Frailty Risk Score (HFRS) is a validated geriatric comorbidity measure derived from routinely collected administrative data. The purpose of this study is to evaluate the utility of the HFRS as a predictor for postoperative adverse events after primary total hip (THA) and knee (TKA) arthroplasty. Methods: In a retrospective analysis of 8250 patients who had undergone THA or TKA between 2011 and 2019, the HFRS was calculated for each patient. Reoperation rates, readmission rates, complication rates, and transfusion rates were compared between patients with low and intermediate or high frailty risk. Multivariate logistic regression models were used to assess the relationship between the HFRS and postoperative adverse events. Results: Patients with intermediate or high frailty risk showed a higher rate of reoperation (10.6% vs 4.1%, P < .001), readmission (9.6% vs 4.3%, P < .001), surgical complications (9.1% vs 1.8%, P < .001), internal complications (7.3% vs 1.1%, P < .001), other complications (24.4% vs 2.0%, P < .001), Clavien-Dindo grade IV complications (4.1% vs 1.5%, P < .001), and transfusion (10.4% vs 1.3%, P < .001). Multivariate logistic regression analyses revealed a high HFRS as independent risk factor for reoperation (odds ratio [OR] = 2.1; 95% confidence interval [CI], 1.46-3.09; P < .001), readmission (OR = 1.78; 95% CI, 1.21-2.61; P = .003), internal complications (OR = 3.72; 95% CI, 2.28-6.08; P < .001), surgical complications (OR = 3.74; 95% CI, 2.41-5.82; P < .001), and other complications (OR = 9.00; 95% CI, 6.58-12.32; P < .001). Conclusion: The HFRS predicts adverse events after THA and TKA. As it derives from routinely collected data, the HFRS enables hospitals to identify at-risk patients without extra effort or expense. (C) 2020 Elsevier Inc. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TOTAL JOINT ARTHROPLASTY; PERIPROSTHETIC INFECTIONS; ECONOMIC-IMPACT; ASSESSMENT TOOL; INDEX; CARE; MORBIDITY; OUTCOMES; SURGERY; arthroplasty; outcome; complications; adverse events; HFRS; frailty |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Mar 2021 07:28 |
| Last Modified: | 08 Mar 2021 07:28 |
| URI: | https://pred.uni-regensburg.de/id/eprint/43307 |
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