Jared Warren1, Kavin Sundaram, Hiba Anis, Atul F Kamath, Michael A Mont, Carlos A Higuera, Nicolas S Piuzzi. 1. From the Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH (Dr. Warren, Dr. Sundaram, Dr. Anis, Dr. Kamath and Dr. Piuzzi), the Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY (Dr. Mont), and the Department of Orthopedic Surgery, Cleveland Clinic Florida, Weston, FL (Dr. Higuera).
Abstract
BACKGROUND: We compared the following 30-day outcomes for total knee arthroplasty (TKA) and total hip arthroplasty in spinal anesthesia (SA) versus general anesthesia (GA) (1) mortality, (2) major and minor complication rates, and (3) discharge disposition. METHODS: From 2011 to 2016, the American College of Surgeons National Surgical Quality Improvement Program database contained 45,871 SA total hip arthroplasties and 65,092 receiving GA. There were 80,077 SA TKAs and 103,003 GA TKAs. Adjusted multivariate logistic regression evaluated associations between anesthesia type and 30-day outcomes. RESULTS: Anesthesia modality was not associated with 30-day mortality (P > 0.05). The GA cohorts were at a greater risk for any complication, major complications, and minor complications (P < 0.05). Patients who received GA were at an increased risk for nonhome discharge. CONCLUSION: Patients who undergo total joint arthroplasty with SA experience fewer 30-day complications and are less likely to have a nonhome discharge than those with GA.
BACKGROUND: We compared the following 30-day outcomes for total knee arthroplasty (TKA) and total hip arthroplasty in spinal anesthesia (SA) versus general anesthesia (GA) (1) mortality, (2) major and minor complication rates, and (3) discharge disposition. METHODS: From 2011 to 2016, the American College of Surgeons National Surgical Quality Improvement Program database contained 45,871 SA total hip arthroplasties and 65,092 receiving GA. There were 80,077 SA TKAs and 103,003 GA TKAs. Adjusted multivariate logistic regression evaluated associations between anesthesia type and 30-day outcomes. RESULTS: Anesthesia modality was not associated with 30-day mortality (P > 0.05). The GA cohorts were at a greater risk for any complication, major complications, and minor complications (P < 0.05). Patients who received GA were at an increased risk for nonhome discharge. CONCLUSION:Patients who undergo total joint arthroplasty with SA experience fewer 30-day complications and are less likely to have a nonhome discharge than those with GA.
Authors: Inelda Gjata; Lori Olivieri; Leyla Baghirzada; Ryan V W Endersby; Nathan M Solbak; Colin G W Weaver; Sampson Law; Lara J Cooke; Kelly W Burak; Shawn K Dowling Journal: Can J Anaesth Date: 2022-07-25 Impact factor: 6.713
Authors: Fabio A Rodriguez-Patarroyo; Nadin Cuello; Robert Molloy; Viktor Krebs; Alparslan Turan; Nicholas S Piuzzi Journal: EFORT Open Rev Date: 2021-12-10
Authors: Rodrigo Moreira E Lima; Leonardo de Andrade Reis; Felipe Souza Thyrso de Lara; Lino Correa Dias; Márcio Matsumoto; Glenio Bitencourt Mizubuti; Adilson Hamaji; Lucas Wynne Cabral; Lígia Andrade da Silva Telles Mathias; Lais Helena Navarro E Lima Journal: Braz J Anesthesiol Date: 2020-06-10
Authors: Rodrigo Moreira E Lima; Leonardo de Andrade Reis; Felipe Souza Thyrso de Lara; Lino Correa Dias; Márcio Matsumoto; Glenio Bitencourt Mizubuti; Adilson Hamaji; Lucas Wynne Cabral; Lígia Andrade da Silva Telles Mathias; Lais Helena Navarro E Lima Journal: Braz J Anesthesiol Date: 2020-06-10
Authors: Mark C Kendall; Alexander D Cohen; Stephanie Principe-Marrero; Peter Sidhom; Patricia Apruzzese; Gildasio De Oliveira Journal: BMC Anesthesiol Date: 2021-09-15 Impact factor: 2.217