View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, June 8 (HealthDay News) -- Three percent of patients who undergo knee and hip replacements require critical care services (CCS), and they are more likely to be older and have more comorbidities than those who do not require CCS, according to a study published online May 24 in Anesthesiology.
Stavros G. Memtsoudis, M.D., Ph.D., from the Weill Medical College of Cornell University in New York City, and colleagues analyzed discharge data from 528,495 patients who underwent primary hip (33 percent) or knee (67 percent) arthroplasty in approximately 400 U.S. hospitals between 2006 and 2010.
The researchers found that 3 percent of all patients required CCS. Patients who required CCS tended to be older and have more comorbidities than patients who did not require CCS. Compared with non-CCS patients, CCS patients experienced more complications, longer hospital stays, higher costs, and a decreased likelihood of being discharged home. The odds for requiring CCS were increased in patients with advanced age, by use of general versus neuraxial anesthesia, and by the presence of postoperative cardiopulmonary complications.
"Approximately one of 30 patients undergoing total joint arthroplasty requires CCS," the authors write. "Given the large number of these procedures performed annually, anesthesiologists, orthopedic surgeons, critical care physicians, and administrators should be aware of the attendant risks this population represents and allocate resources accordingly."
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top