Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment
Background: This study aims to compare indications, patient characteristics, hospital factors, and complication rates between total hip arthroplasty (THA) patients aged 30 years or younger and those older than 30 years using a large national database. Methods: The Premier Healthcare Database was uti...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344123001735 |
| _version_ | 1797306948980310016 |
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| author | Jennifer C. Wang, MD Kevin C. Liu, BS Brandon S. Gettleman, BS Matthew Chen, BA Amit S. Piple, MD Jaewon Yang, MD Nathanael D. Heckmann, MD Alexander B. Christ, MD |
| author_facet | Jennifer C. Wang, MD Kevin C. Liu, BS Brandon S. Gettleman, BS Matthew Chen, BA Amit S. Piple, MD Jaewon Yang, MD Nathanael D. Heckmann, MD Alexander B. Christ, MD |
| author_sort | Jennifer C. Wang, MD |
| collection | DOAJ |
| description | Background: This study aims to compare indications, patient characteristics, hospital factors, and complication rates between total hip arthroplasty (THA) patients aged 30 years or younger and those older than 30 years using a large national database. Methods: The Premier Healthcare Database was utilized to identify primary THA patients from 2015 to 2021 who were aged ≤30 or >30 years. Patient demographics, hospital factors, and primary indications were compared for each cohort. Rates of complications and readmissions were assessed for each cohort by primary indication. Differences were assessed through univariate analysis. Results: Overall, 539,173 primary THA patients were identified (age ≤30: 1849; >30: 537,234). Compared to the >30 cohort, the ≤30 cohort was more likely to be male (56.5% vs 44.9%, P < .001) and non-White (34.0% vs 14.2%, P < .001). The most common indications for THA in the ≤30 cohort were osteonecrosis (49.3%), osteoarthritis (17.8%), and congenital hip deformities (16.0%), and in the >30 cohort, they were osteoarthritis (77.0%), other arthritis (11.3%), and osteonecrosis (5.4%). Patients aged ≤30 years had lower rates of respiratory failure (0.16% vs 0.57%, P < .001), acute renal failure (0.32% vs 1.72%, P < .001), and urinary tract infection (0.38% vs 1.11%, P = .003) than those aged >30 years, but higher rates of wound dehiscence (0.59% vs 0.29%, P = .015) and transfusion (3.68% vs 2.21%, P < .001). There were no differences in 90-day readmission rates (P = .811) or 90-day in-hospital death (P = .173) between cohorts. Conclusions: Younger patients undergoing THA differed significantly in indication, patient characteristics, and hospital factors compared to the older population on univariate analysis. Despite differences in indications, the cohorts did not differ markedly with regard to complication rates in this study. |
| first_indexed | 2024-03-08T00:49:19Z |
| format | Article |
| id | doaj.art-ac14a414cca9477fa016550c6507e69e |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-03-08T00:49:19Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-ac14a414cca9477fa016550c6507e69e2024-02-15T05:24:17ZengElsevierArthroplasty Today2352-34412024-02-0125101268Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary AssessmentJennifer C. Wang, MD0Kevin C. Liu, BS1Brandon S. Gettleman, BS2Matthew Chen, BA3Amit S. Piple, MD4Jaewon Yang, MD5Nathanael D. Heckmann, MD6Alexander B. Christ, MD7Keck School of Medicine of University of Southern California, Los Angeles, CA, USAKeck School of Medicine of University of Southern California, Los Angeles, CA, USAUniversity of South Carolina School of Medicine, Columbia, SC, USAKeck School of Medicine of University of Southern California, Los Angeles, CA, USAKeck School of Medicine of University of Southern California, Los Angeles, CA, USAUniversity of Washington Medical Center, Seattle, WA, USAKeck School of Medicine of University of Southern California, Los Angeles, CA, USAUniversity of California Los Angeles, Los Angeles, CA, USA; Corresponding author. Department of Orthopaedic Surgery, University of California Los Angeles, 1225 15th St Suite 2100, Santa Monica, CA 90404, USA. Tel.: +1 424 259 9860.Background: This study aims to compare indications, patient characteristics, hospital factors, and complication rates between total hip arthroplasty (THA) patients aged 30 years or younger and those older than 30 years using a large national database. Methods: The Premier Healthcare Database was utilized to identify primary THA patients from 2015 to 2021 who were aged ≤30 or >30 years. Patient demographics, hospital factors, and primary indications were compared for each cohort. Rates of complications and readmissions were assessed for each cohort by primary indication. Differences were assessed through univariate analysis. Results: Overall, 539,173 primary THA patients were identified (age ≤30: 1849; >30: 537,234). Compared to the >30 cohort, the ≤30 cohort was more likely to be male (56.5% vs 44.9%, P < .001) and non-White (34.0% vs 14.2%, P < .001). The most common indications for THA in the ≤30 cohort were osteonecrosis (49.3%), osteoarthritis (17.8%), and congenital hip deformities (16.0%), and in the >30 cohort, they were osteoarthritis (77.0%), other arthritis (11.3%), and osteonecrosis (5.4%). Patients aged ≤30 years had lower rates of respiratory failure (0.16% vs 0.57%, P < .001), acute renal failure (0.32% vs 1.72%, P < .001), and urinary tract infection (0.38% vs 1.11%, P = .003) than those aged >30 years, but higher rates of wound dehiscence (0.59% vs 0.29%, P = .015) and transfusion (3.68% vs 2.21%, P < .001). There were no differences in 90-day readmission rates (P = .811) or 90-day in-hospital death (P = .173) between cohorts. Conclusions: Younger patients undergoing THA differed significantly in indication, patient characteristics, and hospital factors compared to the older population on univariate analysis. Despite differences in indications, the cohorts did not differ markedly with regard to complication rates in this study.http://www.sciencedirect.com/science/article/pii/S2352344123001735Total hip arthroplastyYoung patientsIndicationsComplications |
| spellingShingle | Jennifer C. Wang, MD Kevin C. Liu, BS Brandon S. Gettleman, BS Matthew Chen, BA Amit S. Piple, MD Jaewon Yang, MD Nathanael D. Heckmann, MD Alexander B. Christ, MD Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment Arthroplasty Today Total hip arthroplasty Young patients Indications Complications |
| title | Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment |
| title_full | Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment |
| title_fullStr | Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment |
| title_full_unstemmed | Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment |
| title_short | Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment |
| title_sort | characteristics of very young patients undergoing total hip arthroplasty a contemporary assessment |
| topic | Total hip arthroplasty Young patients Indications Complications |
| url | http://www.sciencedirect.com/science/article/pii/S2352344123001735 |
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