Major Orthopedic Surgery

Lisbi Rivas; Ryan D. Scully; Tammy Ju; James DeBritz; Babak Sarani

doi:10.1016/B978-0-323-56724-4.00034-4

Major Orthopedic Surgery

Lisbi Rivas, Ryan D. Scully, Tammy Ju, James DeBritz, Babak Sarani

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Although many studies have documented the utility and benefits of joint replacement and spine surgery, there continues to be a paucity of large randomized clinical trial data on interventions to minimize postoperative complications after these procedures. Several factors have been shown to impact morbidity and mortality in orthopedic patients. For hip replacement surgery, age has been established to be an independent predictor of mortality where patients older than 80 years of age have a mortality 38% higher than those below than 59 years of age. Patients with an American Society of Anesthesiologists (ASA) ≥3, preexisting pulmonary or cardiac conditions, renal insufficiency, or diabetes mellitus also have higher morbidity. Patients undergoing spine operations have the potential for unique postoperative complications, which will be discussed separately.

Original language	English (US)
Title of host publication	Perioperative Medicine
Subtitle of host publication	Managing for Outcome, Second Edition
Publisher	Elsevier
Pages	521-529
Number of pages	9
ISBN (Electronic)	9780323567244
ISBN (Print)	9780323567206
DOIs	https://doi.org/10.1016/B978-0-323-56724-4.00034-4
State	Published - Jan 1 2021
Externally published	Yes

Keywords

deep venous thrombosis
hip arthroplasty
knee arthroplasty
orthopedic complications
spine surgery
venous thromboembolic disease
venous thromboembolism

ASJC Scopus subject areas

General Medicine

Access to Document

10.1016/B978-0-323-56724-4.00034-4

Cite this

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abstract = "Although many studies have documented the utility and benefits of joint replacement and spine surgery, there continues to be a paucity of large randomized clinical trial data on interventions to minimize postoperative complications after these procedures. Several factors have been shown to impact morbidity and mortality in orthopedic patients. For hip replacement surgery, age has been established to be an independent predictor of mortality where patients older than 80 years of age have a mortality 38% higher than those below than 59 years of age. Patients with an American Society of Anesthesiologists (ASA) ≥3, preexisting pulmonary or cardiac conditions, renal insufficiency, or diabetes mellitus also have higher morbidity. Patients undergoing spine operations have the potential for unique postoperative complications, which will be discussed separately.",

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AU - Ju, Tammy

AU - DeBritz, James

AU - Sarani, Babak

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Major Orthopedic Surgery

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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