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To recognize the variable risk factors for the development of Gastrointestinal (GI) complications and determine their short-term effect after TJA.
Although Gastrointestinal (GI) complications are not
frequently observed following total joint arthroplasty (TJA), but if they are,
they can lead to prolonged hospital stays and high mortality risk, as
determined from this study of total 17,402 patients.
To recognize the variable risk factors for the development
of Gastrointestinal (GI) complications and determine their short-term effect
after TJA.
The demographic data along with comorbidities, operative and perioperative details, and short-term outcomes of patients who underwent primary TJA with a minimum of one GI complication were included. If need be, the type of GI complication and intervention was done. The indivisual variables linked with GI complication were recognized.
One hundred and six patients out of 17,402 patients had a GI
complication. Most frequently reported GI complication was constipation/bowel
obstruction, followed by diarrhea/ intestional malabsorption, hemorrhage, and
Clostridium difficile. The patients with a GI complication were considerably
older (68.5 versus 63.7, p<0.001), less likely to be alcoholic (49% versus
65%, p=0.008), and had greater occurences of 8 of the 16 comorbidities.
After TJA, the patients suffering a GI complication need
lengthier hospital stays and greater post-acute care resources and have
significantly higher mortality risk.
The Journal of Arthroplasty
Gastrointestinal Complications Following Total Joint Arthroplasty Are Rare but Have Severe Consequences
Joseph Massaglia et al.
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