Perioperative morbidity and mortality following bilateral total hip arthroplasty

Mohammad R Rasouli; Mitchell G Maltenfort; David Ross; William J Hozack; Stavros G Memtsoudis; Javad Parvizi

doi:10.1016/j.arth.2013.04.001

Perioperative morbidity and mortality following bilateral total hip arthroplasty

J Arthroplasty. 2014 Jan;29(1):142-8. doi: 10.1016/j.arth.2013.04.001. Epub 2013 May 9.

Authors

Mohammad R Rasouli¹, Mitchell G Maltenfort, David Ross, William J Hozack, Stavros G Memtsoudis, Javad Parvizi

Affiliation

¹ Rothman Institute of Orthopaedics, Thomas Jefferson University, Philadelphia, Pennsylvania.

PMID: 23664280
DOI: 10.1016/j.arth.2013.04.001

Abstract

There is concern about safety of bilateral total hip arthroplasty (THA).This study aims to compare in-hospital complication rates between unilateral, simultaneous and staged bilateral THAs. The Nationwide Inpatient Sample from 2002-2010 was used. Patients and complications were identified using ICD-9-CM codes. In multivariate analysis, bilateral THA had higher risk of systemic complications (Odds ratio (OR): 2.1, P<0.001) compared to unilateral procedure, whereas no significant difference existed between simultaneous and staged bilateral THAs. The rate of local complications was higher in bilateral versus unilateral (4.96% versus 4.54%, P=0.009) and in staged versus simultaneous bilateral THAs (OR: 1.75, P=0.05). Bilateral THA increases risk of systemic complications compared to unilateral surgery and simultaneous bilateral THA appears to be safer than staging during one hospitalization.

Keywords: bilateral total hip arthroplasty; morbidity; mortality; nationwide inpatient sample.

MeSH terms

Arthroplasty, Replacement, Hip / adverse effects*
Arthroplasty, Replacement, Hip / statistics & numerical data*
Arthroplasty, Replacement, Hip / trends
Databases, Factual
Female
Humans
Male
Morbidity
Perioperative Period
Postoperative Complications / epidemiology
United States / epidemiology