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Consequences of gastrointestinal complications after total joint arthroplasty

Consequences of gastrointestinal complications after total joint arthroplasty Consequences of gastrointestinal complications after total joint arthroplasty
Consequences of gastrointestinal complications after total joint arthroplasty Consequences of gastrointestinal complications after total joint arthroplasty

To recognize the variable risk factors for the development of Gastrointestinal (GI) complications and determine their short-term effect after TJA.

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Key take away

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.

Background

To recognize the variable risk factors for the development of Gastrointestinal (GI) complications and determine their short-term effect after TJA.

Method

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.

Result

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. 

Conclusion

After TJA, the patients suffering a GI complication need lengthier hospital stays and greater post-acute care resources and have significantly higher mortality risk.

Source:

The Journal of Arthroplasty

Article:

Gastrointestinal Complications Following Total Joint Arthroplasty Are Rare but Have Severe Consequences

Authors:

Joseph Massaglia et al.

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