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Extended length of stay in diabetic octogenarians following revision total hip arthroplasty

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Abstract

Purpose

Past research has shown diabetic patients, including those of geriatric age, to be at an increased risk of postoperative complications following various surgeries, including revision total hip arthroplasty (rTHA). However, whether these risks are disproportionately greater in octogenarian patients has not been well investigated. This study aimed to determine whether diabetic octogenarians are at an increased risk of postoperative complications following rTHA.

Methods

The national surgical quality improvement program database was used to identify all diabetic patients who underwent rTHA from 2007 to 2018. Patients were divided into two groups: an aged 65 to 79 cohort and an aged 80 to 89 cohort. Patient demographics, comorbidities, and postoperative complications were assessed and compared between the two aged cohorts, with the utilization of bivariate and multivariate analyses.

Results

Of the 1184 diabetic patients who underwent rTHA, 906 (76.5%) patients were in the aged 65 to 79 cohort and 278 (23.5%) patients were in the aged 80 to 89 cohort. After adjusting for patient demographics and medical comorbidities, compared to patients in the aged 65 to 79 group, diabetic patients who were 80 to 89 years old were found to have an increased risk of extended length of hospital stay (OR 1.67; p = 0.017).

Conclusion

Diabetic octogenarian patients have an increased risk for a prolonged hospital stay following rTHA relative to their younger diabetic geriatric counterparts. Orthopedic surgeons should be aware of these increased risks to properly educate diabetic octogenarians and assist in surgical management decision making in these patients considering rTHA.

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Funding

No funds, grants, or other support was received.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA

    Puneet Gupta, Theodore Quan, Chirag J. Patel, Alex Gu & Joshua C. Campbell

  2. Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10021, USA

    Joseph E. Manzi

  3. Department of Orthopaedic Surgery, Children’s National Health System, Washington, DC, USA

    Sean Tabaie

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  1. Puneet Gupta
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  2. Theodore Quan
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Correspondence to Theodore Quan.

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Institutional review board approval was not required for this study as all data are de-identified and public. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Gupta, P., Quan, T., Patel, C.J. et al. Extended length of stay in diabetic octogenarians following revision total hip arthroplasty. Eur J Orthop Surg Traumatol 33, 1217–1222 (2023). https://doi.org/10.1007/s00590-022-03277-0

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  • DOI: https://doi.org/10.1007/s00590-022-03277-0

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