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Higher rate of readmission, infection seen for patients who undergo revision vs primary TJA
Results from this study demonstrated patients who underwent revision total joint arthroplasty had higher rates of periprosthetic joint infection and readmission, and longer length of hospital stay compared with patients who had primary procedures.
Researchers reviewed the American College of Surgeons National Surgical Quality Improvement program data and identified 43,247 patients who underwent primary total hip arthroplasty (THA) and 65,694 patients who underwent primary total knee arthroplasty (TKA). In addition, they reviewed information for 5,060 patients who had revision THA and 4,911 patients who had revision TKA.
The rates of serious adverse events in the primary THA and TKA groups were 1.2% and 1.4%, respectively, vs. 3.1% and 2.7%, respectively, for revision THA and TKA. Results also showed higher rates of systemic sepsis, deep incisional surgical site infection and organ/space infection among patients who underwent revision surgery. Investigators noted length of stay and readmission rates were higher in patients who underwent revision surgery compared with patients who underwent primary surgery. The researchers found no significant differences between the primary and revision groups regarding the rates of pulmonary embolism or deep vein thrombosis. ‒ by Monica Jaramillo
Disclosures: Bohl reports no relevant financial disclosure. Please see the full study for a list of all other authors’ relevant financial disclosures.