Navigation Links
Obesity, Diabetes May Raise Complications After Joint Replacement
Date:6/7/2012

THURSDAY, June 7 (HealthDay News) -- About 3 percent of patients who have total hip and knee replacements require critical care services before they leave the hospital, a large new study indicates.

The findings highlight the risks of these elective surgeries in older patients with other health problems and show that the procedures are placing an increasing burden on the health care system's critical care services, according to the study authors.

In the study, published online and in the July print issue of the journal Anesthesiology, researchers analyzed data from nearly 530,000 patients who had total knee or hip replacement surgery at 400 U.S. hospitals between 2006 and 2010.

Compared to patients who didn't require follow-up critical care services, the 3 percent of patients who did require such care had a higher death rate (2.5 percent versus 0.1 percent), longer hospitals stays, higher costs and were less likely to go home after being discharged (40 percent versus 63 percent), the investigators found.

In addition, the researchers noted that older patients (average age 69) were more likely to require critical care services than younger patients (average age 66). Patients who needed critical care services were also more likely to have other health problems such as obesity, diabetes and chronic obstructive pulmonary [lung] disease.

Heart and lung problems were the most common complications that led to the use of critical care services following total knee or hip replacement. The need for critical care services was also higher among patients who had general anesthesia rather than spinal anesthesia.

The findings show that the percentage of total knee and hip joint replacement patients who require critical care services is large enough that hospitals and critical care doctors need to prepare for the growing number of these patients who will require such care, said lead author Dr. Stavros Memtsoudis, director of critical care services at the Hospital for Special Surgery, in New York City.

"Orthopedic patients are not the prime type of patient that people expect in an [intensive care unit]. It is elective surgery after all," Memtsoudis said in a hospital news release. "Risk factors for needing critical care services are advanced age and existing coronary artery disease, diabetes, obesity and a number of other [preexisting conditions]. Unfortunately, this is the type of population that usually requires hip and knee replacements."

Currently, more than one million hip and knee replacements are performed each year in the United States, the release noted. That number is expected to be more than 4 million by 2030.

More information

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

-- Robert Preidt

SOURCE: Hospital for Special Surgery, news release, June 5, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New research finds no association between white potato consumption (baked, boiled mashed) and obesity, Type 2 diabetes or systemic inflammation
2. Disrupted Sleep May Raise Risk for Obesity, Diabetes: Study
3. Diabetes drug could be a promising therapy for traumatic brain injury
4. 1 size doesnt fit all when treating blood pressure in people with diabetes, VA/U-M study suggests
5. Aggressively controlling glucose levels may not reduce kidney failure in Type 2 diabetes
6. Phone contact with nurses linked with better outcomes for women with gestational diabetes
7. U.S. Sees Drop in Deaths Linked to Diabetes
8. Diabetes Can Take a Toll on Your Emotions
9. New inflammation hormone link may pave way to study new drugs for Type 2 diabetes
10. 53 million Americans might have diabetes by 2025, according to a new study in Population Health Management
11. Eye Changes May Predict Heart Disease in Blacks With Diabetes
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Obesity, Diabetes May Raise Complications After Joint Replacement
(Date:5/27/2016)... New Hampshire (PRWEB) , ... May 27, 2016 , ... ... skin care products, announced today that it has been recognized as one of the ... entering parenthood. Badger was named as one of nine small businesses providing progressive benefits ...
(Date:5/27/2016)... ... 27, 2016 , ... An educational campaign aimed at everyone ... courtesy of awareness-driven celebrities and thought leaders. It also provides insight to the ... leaders such as Bioness. , As patients feel increasingly concerned about the ...
(Date:5/27/2016)... ... ... Aimed at nurses and employees in the health care world, this installment ... nursing and health care industry. It also provides insight to the developing trends and ... As the nursing industry is coming out of one of the biggest recessions in ...
(Date:5/26/2016)... ... ... There are many ways to cook a hot dog, but new research commissioned ... dogs straight off the grill. Of the 90 percent of Americans who say they ... hot dog, far outpacing other cooking methods such as steaming (12 percent), microwaving (9 ...
(Date:5/26/2016)... ... May 26, 2016 , ... Georgia State University College of ... programs. , Answering to the increasing demand for curricular specializations, the Certificate in ... environmental and land use law. ,  , “The demand for lawyers with specific ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... YORK , May 25, 2016  According to ... reached $381 billion in 2015.  Though these are ... plenty of opportunity for success for companies that ... in search of new growth prospects medical device ... on research and development (R&D) than do companies ...
(Date:5/25/2016)... , May 25, 2016 As ... Expo earlier this month, the numbers and momentum of ... to climb into the billions, more research and development ... 4th Edition State of Legal Marijuana Markets Report  from ... data-analysis firm, much of the increase in sector is ...
(Date:5/25/2016)... 2016 Digital Health Dialog, LLC dba ... the US Patent and Trademark Office of U.S. ... processes for electronic opt-­in and processing of discount ... HIPAA compliance and otherwise. Logo - ... "Our technology allows for individuals to opt­-in ...
Breaking Medicine Technology: