Navigation Links
Joint Replacement Risks Rise at Less Experienced Hospitals

TUESDAY, June 7 (HealthDay News) -- People who have hip or knee replacement surgery at hospitals that do relatively few surgeries are at greater risk for serious complications after the procedure, new research reveals.

Blood clots were more common among patients at hospitals with low surgical volume, as were deaths within a year of their surgery, according to the study, published online June 7 in Arthritis & Rheumatism.

According to the U.S. Centers for Disease Control and Prevention, about 230,000 total hip replacements and 543,000 total knee replacements are performed each year in the United States.

"With the large number of elective arthroplasty [joint replacements] in the U.S., it is important to understand the impact of peri- and post-operative medical complications on the success of joint replacement surgery," the study's lead author, Dr. Jasvinder Singh of the University of Alabama, said in a news release from the journal's publisher. "Possible cardiac complications, blood clots or infections increase patient morbidity and mortality risk, which can lead to higher health-care utilization and costs."

For the study, Singh and his fellow researchers compiled data on 10,187 hip and 19,418 knee replacement surgeries performed in Pennsylvania in 2002. The recipients, who averaged 69 years old, included more women than men.

People who had a hip replaced at a hospital that did 200 or fewer surgeries a year were more likely to develop a blood clot that travels to the lungs, called a pulmonary embolism, within 30 days of surgery than were those who had their surgery at a high-volume hospital, which did more than 200 surgeries a year.

The risk of dying within a year of the surgery was higher for people who had total hip replacements at a low-volume hospital and for those 65 and older who had a total knee replacement at a hospital with low surgical volume.

The researchers reasoned that the higher risk for complications at hospitals with low surgical volume may be linked to hospital procedures, including the prevention and treatment of blood clots.

"Further studies are needed to investigate whether the underlying reasons for poor surgical outcomes at low-volume hospitals are modifiable and which interventions may reduce complications for patients at these facilities," Singh said.

More information

The U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases has more on joint replacement surgery.

-- Mary Elizabeth Dallas

SOURCE: Arthritis & Rheumatism, news release, June 7, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Joint replacement surgery riskier at hospitals with low surgical volume
2. AAAS Pacific Division to convene joint session with world mummy scholars in San Diego
3. The Helmholtz Association and Inserm create 2 joint research laboratories in France
4. Deer tick bacteria DNA in joint fluid not reliable marker of active lyme arthritis
5. Mans best friend: A joint tumor marker in man and dog
6. Radiation risks to health: A joint statement from leading scientific experts
7. How to help heal an injured joint
8. ATS issues joint statement on the treatment of idiopathic pulmonary fibrosis
9. UCI jointly receives CDC grant to combat health care-associated staph infections
10. Joint pain in children: Is it just a sore knee, or ... ?
11. LA BioMed and CellSeed to launch joint research project on regenerative medicine technology
Post Your Comments:
Related Image:
Joint Replacement Risks Rise at Less Experienced Hospitals 
(Date:11/27/2015)... ... 2015 , ... Lizzie’s Lice Pickers just announced a special promotion that will ... their purchase of lice treatment product. In addition, customers will receive a complimentary head ... “Finding lice is a sure way to ruin the holidays, so we encourage all ...
(Date:11/27/2015)... ... 27, 2015 , ... Consistent with the Radiology Business ... Better Radiology Marketing Programs meeting will showcase some of the best 2015 ... Caesars Palace in Las Vegas with a pre-conference session on a collaborative approach ...
(Date:11/27/2015)... ... November 27, 2015 , ... Keeping in ... for mental health and wellness consultation, has collaborated with a leading web-based marketplace ... knowledge gap experienced by parents and bring advice from parenting experts within their ...
(Date:11/27/2015)... California (PRWEB) , ... November 27, 2015 , ... Avid ... Joplin Ann Arbor Michigan boxing style concert posters. This is one of Joplin's most ... the Canterbury House at the University of Michigan in Ann Arbor. The According to ...
(Date:11/26/2015)... and Cambridge, ON (PRWEB) , ... November 26, ... ... the availability of a real-time eReferral system for diagnostic imaging in the Waterloo ... X-rays, mammography, BMD and Nuclear Medicine tests directly from their electronic medical record ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 2015 ) ... "2016 Future Horizons and Growth Strategies in ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, ... --> ) has announced ... Horizons and Growth Strategies in the French ...
(Date:11/26/2015)... Nov. 26, 2015 Research and Markets ( ... "Advanced Wound Care Market by Type (Dressings, Therapy Devices, ... (In-Patient Facility, Out-Patient Facility), and Geography - Global Forecast ... --> --> The purpose ... and forecast of the global advanced wound care market. ...
(Date:11/26/2015)... Research and Markets ( ) ... Future Horizons and Growth Strategies in the Italian ... Segment Forecasts, Competitive Intelligence, Emerging Opportunities" report ... --> This new 247-page report ... drug monitoring market, including emerging tests, technologies, instrumentation, ...
Breaking Medicine Technology: