The Most Significant Risk Factors for Urinary Retention in Fast-track Total Joint Arthroplasty are Iatrogenic

Patients with end-stage renal disease (ESRD) have inferior outcomes after hip and knee total joint arthroplasty (TJA), with higher risk for surgical site complications (SSC) and periprosthetic joint infection (PJI). We conducted a systematic review and meta-analysis regarding outcomes after hip and knee TJA in ESRD patients who have received dialysis or a kidney transplant (KT) using PubMed, MEDLINE, Cochrane Reviews, and Embase in order to: (1) determine the mortality and infection rate of TJA in patients receiving dialysis or KT and (2) to identify risk factors associated with the outcome. We included 22 studies and 9384 patients (dialysis, n = 8921, KT, n = 463). The overall mortality rate was 14.9% and was slightly higher in KT patients (dialysis vs. KT, 13.8% vs. 15.8%). The overall SSC rate was 3.4%, while dialysis and KT patients each had an incidence of 3.3% and 3.6%, respectively. For PJI, the overall rate was 3.9%, while the incidence for dialysis patients was 4.0% and for KT patients was 3.7%. Using multi-regression analysis, age, sex, the type of arthroplasty (knee or hip) performed, and the form of renal replacement therapy (dialysis or KT) were not significant risk factors. In patients on dialysis or who had received a KT, TJA is associated with a slight increase in mortality, SSC and PJI rates. Cite this article: EFORT Open Rev 2021;6:618-628. DOI: 10.1302/2058-5241.6.200116

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Identifiable Risk Factors to Minimize Postoperative Urinary Retention in Modern Outpatient Rapid Recovery Total Joint Arthroplasty

The Journal of Arthroplasty ◽

10.1016/j.arth.2019.03.015 ◽

2019 ◽

Vol 34 (7) ◽

pp. S343-S347 ◽

Cited By ~ 8

Author(s):

Mary Ziemba-Davis ◽

Mark Nielson ◽

Kent Kraus ◽

Nathan Duncan ◽

Nimra Nayyar ◽

...

Keyword(s):

Risk Factors ◽

Urinary Retention ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty ◽

Rapid Recovery ◽

Postoperative Urinary Retention

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Inheritable Risk Factors for Venous Thromboembolism in Patients Undergoing Lower Extremity Total Joint Arthroplasty

Journal of Long-Term Effects of Medical Implants ◽

10.1615/jlongtermeffmedimplants.2013010092 ◽

2013 ◽

Vol 23 (4) ◽

pp. 293-300

Author(s):

D. Alex Stroh ◽

Kimona Issa ◽

Samik Banerjee ◽

Jesse Allert ◽

Eiman Shafa ◽

...

Keyword(s):

Risk Factors ◽

Venous Thromboembolism ◽

Lower Extremity ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty

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Corrigendum to ‘Predictive Risk Factors for 30-day Readmissions Following Primary Total Joint Arthroplasty and Modification of Patient Management’. [The Journal of Arthroplasty 29/10 (2014) 1938–1942]

The Journal of Arthroplasty ◽

10.1016/j.arth.2015.05.054 ◽

2016 ◽

Vol 31 (2) ◽

pp. 559

Author(s):

Samantha Tayne ◽

Christian A. Merrill ◽

Eric L. Smith ◽

William C. Mackey

Keyword(s):

Risk Factors ◽

Total Joint Arthroplasty ◽

Patient Management ◽

Joint Arthroplasty ◽

Predictive Risk

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Incidence of and Risk Factors for 30-Day Readmission Following Elective Primary Total Joint Arthroplasty: Analysis From the ACS-NSQIP

The Journal of Arthroplasty ◽

10.1016/j.arth.2013.06.032 ◽

2013 ◽

Vol 28 (9) ◽

pp. 1499-1504 ◽

Cited By ~ 150

Author(s):

Andrew J. Pugely ◽

John J. Callaghan ◽

Christopher T. Martin ◽

Peter Cram ◽

Yubo Gao

Keyword(s):

Risk Factors ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty ◽

Acs Nsqip

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The Incidence And Risk Factors of Serum Hypokalemia After Primary Total Joint Arthroplasty

10.21203/rs.3.rs-1029175/v1 ◽

2021 ◽

Author(s):

Pin Pan ◽

Zitao Zhang ◽

Xiaofeng Zhang ◽

Qing Jiang ◽

Zhihong Xu

Keyword(s):

Risk Factors ◽

Red Blood Cells ◽

Knee Replacement ◽

Serum Potassium ◽

Total Joint Arthroplasty ◽

Blood Cells ◽

Potassium Level ◽

Serum Potassium Level ◽

Joint Arthroplasty ◽

Regular Monitoring

Abstract Background: Regular monitoring of serum potassium after total joint arthroplasty (TJA) is a routine examination, which can detect abnormal serum potassium and reduce adverse events timely caused by postoperative hypokalemia. In this study, we aimed to investigate the incidence and risk factors of hypokalemia after primary total hip and knee replacement.Methods: This study included patients who underwent unilateral total knee or hip arthroplasty in our department from April 2017 to March 2018. The serum potassium level before and after operation was collected and retrospectively analyzed. The differences in age, BMI and other factors between hypokalemia patients and non-hypokalemia patients at different time points after surgery were compared, and then the risk factors of postoperative hypokalemia were analyzed based on multiple logistic regression.Results: The total incidence of postoperative hypokalemia was 53.1%, while the respective rate on the first, third and fifth postoperative day was 12.5%, 40.7% and 9.6%. The serum potassium level on the first, third and fifth postoperative day was 3.84±0.32mmol/l, 3.59±0.34mmol/l and 3.80±0.32mmol/l, while among which, the level on the third day was the lowest (p=0.015). The independent risk factors for hypokalemia after total hip and knee replacement were the level of preoperative serum potassium (p=0.011), preoperative red blood cells (p=0.027), and a history of diabetes (p=0.007).Conclusion: Regular monitoring of serum potassium should be performed after TJA due to hypokalemia was a very common complication. We need to pay more attention to patients’ preoperative potassium and red blood cells, especially patients with diabetes.

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