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:2/23/2017)... ... February 23, 2017 , ... Current Meditation , a ... franchising throughout the U.S. starting this spring. Current Meditation focuses on “meditation for ... mainstream. Current Meditation will be the first meditation concept in the U.S. offering ...
(Date:2/23/2017)... ... February 23, 2017 , ... The Center for Autism and ... for Autism Research and Treatment (RI-CART) and Cinemaworld to present Sensory Friendly Films. ... to see films in an environment that accommodates their unique needs. , Launched ...
(Date:2/23/2017)... ... February 23, 2017 , ... CALNOC, the nation’s first and only nursing ... upcoming conference – Empowerment, Value and Collaboration – in Seattle, WA on October 23, ... Virginia Mason Health System in Seattle since 2000. In addition to his role at ...
(Date:2/23/2017)... ... 2017 , ... Curemark, LLC announced today that the Blüm Study, a Phase ... 3-8 with Autism, is now enrolling at three new sites. These new sites are ... , “There are currently no approved drugs that address the core symptoms of ...
(Date:2/23/2017)... Australia (PRWEB) , ... February 23, 2017 , ... ... With perseverance and disciplined exercise regime, the author was able to successfully recover. In ... collates all relevant information for various sources on the principals of massage, anatomy ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Feb 23, 2017 Research and Markets ... Strategies - 2016" report to their offering. ... The latest research Menopause Drugs Price Analysis and ... Menopause market. The research answers the following questions: ... clinical attributes? How are they positioned in the Global Menopause market? ...
(Date:2/23/2017)... Regulus Therapeutics Inc . (Nasdaq: RGLS), ... innovative medicines targeting microRNAs, today announced it will release ... Thursday, March 2, 2017 after the market closes. ... on March 2, 2017 at 5:00 p.m. Eastern Time ... results and provide a general business update.  A live ...
(Date:2/23/2017)... 23, 2017 The fast-growing cannabis market ... United States . According to the 2017 Legal Marijuana ... expected to create 283,422 jobs by 2020, with an implied ... next four years. The accelerating pace of cannabis legalization is ... legal cannabis market, which will further create more business ventures ...
Breaking Medicine Technology: