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Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States.

Publication ,  Journal Article
Viens, NA; Hug, KT; Marchant, MH; Cook, C; Vail, TP; Bolognesi, MP
Published in: J Surg Orthop Adv
2012

The objective of this study was to determine whether the type of diabetes mellitus (DM) affected the incidence of immediate perioperative complications following joint replacement. From 1988 to 2003, the Nationwide Inpatient Sample recognized 65,769 patients with DM who underwent total hip and knee arthroplasty in the United States. Bivariate and multivariate analyses compared patients with type 1 (n = 8728) and type 2 (n = 57,041) DM regarding common perioperative complications, mortality, and hospital course alterations. Type 1 DM patients had increased length of stays and inflation-adjusted costs after surgery (p < .001). Type 1 patients also had significant increases in the incidence of myocardial infarction, pneumonia, urinary tract infection, postoperative hemorrhage, wound infection, and death (p < .02). Perhaps because of the differences in the duration of disease and their underlying pathologies, patients with type 1 diabetes carry more significant overall perioperative risks and require more health care resources compared with patients with type 2 diabetes following hip and knee arthroplasty.

Duke Scholars

Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2012

Volume

21

Issue

4

Start / End Page

253 / 260

Location

United States

Related Subject Headings

  • United States
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Osteoarthritis, Knee
  • Osteoarthritis, Hip
  • Multivariate Analysis
  • Logistic Models
  • Length of Stay
  • International Classification of Diseases
  • Humans
 

Citation

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Viens, N. A., Hug, K. T., Marchant, M. H., Cook, C., Vail, T. P., & Bolognesi, M. P. (2012). Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States. J Surg Orthop Adv, 21(4), 253–260. https://doi.org/10.3113/jsoa.2012.0253
Viens, Nicholas A., Kevin T. Hug, Milford H. Marchant, Chad Cook, Thomas Parker Vail, and Michael P. Bolognesi. “Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States.J Surg Orthop Adv 21, no. 4 (2012): 253–60. https://doi.org/10.3113/jsoa.2012.0253.
Viens NA, Hug KT, Marchant MH, Cook C, Vail TP, Bolognesi MP. Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States. J Surg Orthop Adv. 2012;21(4):253–60.
Viens, Nicholas A., et al. “Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States.J Surg Orthop Adv, vol. 21, no. 4, 2012, pp. 253–60. Pubmed, doi:10.3113/jsoa.2012.0253.
Viens NA, Hug KT, Marchant MH, Cook C, Vail TP, Bolognesi MP. Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States. J Surg Orthop Adv. 2012;21(4):253–260.

Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2012

Volume

21

Issue

4

Start / End Page

253 / 260

Location

United States

Related Subject Headings

  • United States
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Osteoarthritis, Knee
  • Osteoarthritis, Hip
  • Multivariate Analysis
  • Logistic Models
  • Length of Stay
  • International Classification of Diseases
  • Humans