Does age increase perioperative complications for single-stage bilateral total hip arthroplasty?

Joshua C Mostales; Samantha N Andrews; Kristin A Mathews; Scott T Nishioka; Cass K Nakasone

doi:10.1016/j.jor.2021.09.011

Does age increase perioperative complications for single-stage bilateral total hip arthroplasty?

J Orthop. 2021 Sep 28:27:149-152. doi: 10.1016/j.jor.2021.09.011. eCollection 2021 Sep-Oct.

Authors

Joshua C Mostales¹, Samantha N Andrews^{2

3}, Kristin A Mathews², Scott T Nishioka², Cass K Nakasone^{2

3}

Affiliations

¹ John A Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, Honolulu, HI, 96813, USA.
² Straub Medical Center, Bone & Joint Center, 888 South King Street, Honolulu, HI, 96818, USA.
³ John A Burns School of Medicine, University of Hawai'i, Department of Surgery, 1356 Lusitana Street, Honolulu, HI, 96813, USA.

Abstract

The potential of post-operative complication may exclude elderly patients from undergoing single-staged bilateral total hip arthroplasty (SSBTHA). This study retrospective compared perioperative complications between SSBTHA patients <70 (N = 157) and ≥70 (N = 56) years of age. Patients ≥70 had significantly lower body mass index (p = 0.029) and had a higher ASA classification (p = 0.041) compared to patients <70. No differences in post-operative complications or transfusion rates were found between age groups. However, patients ≥70 were less likely to be discharged home. While SSBTHA can safely be performed in patients ≥70, the risk of transfusion may suggest pre-operative hemoglobin screenings, especially for patients ≥70.

Keywords: Complication; Elderly; Simultaneous; Transfusion.