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:4/24/2017)... , ... April 24, 2017 , ... Michael Vick announced ... transforming the quarterback position. The former overall number one pick in the 2001 NFL ... career. He holds the record for the most career rushing yards by a quarterback ...
(Date:4/24/2017)... ... 2017 , ... As part of the nationwide Days of Remembrance effort led ... Holocaust and Nazi persecution, Center for Medicine after the Holocaust (CMATH) announced ... trip to Germany and Poland next week. , The Fourth Biennial CMATH Champions Trip ...
(Date:4/24/2017)... ... ... Bright Pink , a national non-profit organization focusing on the prevention and early detection of ... is proud to announce Katie Thiede as their new Chief Executive Officer. In January, founder ... of the Board and launched a national search to find a visionary new leader to ...
(Date:4/24/2017)... ... ... Veteran Theresa James awoke to the sound of her newly ex-husband breaking into ... depicts every parent’s worst nightmare, when her three children were violently taken from her. ... my divorce,” James said. “After the death of my children, I continued to journal. ...
(Date:4/24/2017)... ... April 24, 2017 , ... The ... public support to bring their novel lifesaving device for the everyday use of ... medical-grade sensors, specially designed to read a child’s vital signs, and detect unusual ...
Breaking Medicine News(10 mins):
(Date:4/24/2017)... Solentim, the developer of instrumentation for ... a major new product line called the VIPS™ ... has been developed for automatically seeding single cells ... of the process to generate clonally-derived cell lines. ... reliable solution when compared to traditional single cell ...
(Date:4/20/2017)... 2017  Cogentix Medical, Inc. (NASDAQ: CGNT), a ... Urology, Uro/Gyn and Gynecology markets with innovative and ... joined the Company as Senior Vice President, Marketing ... Mr. Keswani will report directly to Darin ... organization is delighted that Ash has joined the ...
(Date:4/20/2017)... , April 20, 2017  Zimmer Biomet Holdings, Inc. ... healthcare, today announced that it will be participating in ... at the InterContinental Hotel in Boston, Massachusetts ... will present at 11:20 a.m. Eastern Time. ... via Zimmer Biomet,s Investor Relations website at http://investor.zimmerbiomet.com ...
Breaking Medicine Technology: