ArticleClinical orthopaedics and related research2014
Perioperative morbidity and mortality of same-day bilateral TKAs: incidence and risk factors.
Article in Clinical orthopaedics and related research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Robotic-assisted simultaneous bilateral total knee arthroplasty was associated with a more favorable perioperative profile than a historical conventional cohort.Journal of experimental orthopaedics · 2026Article
- Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study.Journal of orthopaedic case reports · 2025Article
- Mortality Rates in Staged Bilateral Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Subsequent total joint arthroplasty: Are we learning from the first stage?World journal of orthopedics · 2024Article
- The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged.The archives of bone and joint surgery · 2024Article
- Complications following single-stage bilateral total knee arthroplasty and unilateral procedures: experience of a high-volume community hospital.Archives of orthopaedic and trauma surgery · 2024Article
- The Optimal Period of Staged Bilateral Total Knee Arthroplasty Procedures under Enhanced Recovery: A Retrospective Study.Orthopaedic surgery · 2023Article
- The impact of Charlson Comorbidity Index on surgical complications and reoperations following simultaneous bilateral total knee arthroplasty.Scientific reports · 2023Article
- Development and validation of a nomogram to predict complications in patients undergoing simultaneous bilateral total knee arthroplasty: A retrospective study from two centers.Frontiers in surgery · 2022Article
- A prospective comparative study of staged total knee arthroplasty: ninety-day versus seven-day interval.International orthopaedics · 2021Article
- Staged Bilateral Total Knee Arthroplasty: When Should the Second Knee be Replaced?The archives of bone and joint surgery · 2021Review
- Obesity and its effect on outcomes in same-day bilateral total knee arthroplasty.Annals of translational medicine · 2020Article
- Simultaneous single-stage versus two-staged bilateral total knee arthroplasty: a prospective comparative study.International orthopaedics · 2020Article
- Younger patients with high varus malalignment of the contralateral knee may be candidates for simultaneous bilateral total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Risk Factors Associated With Health Care Utilization and Costs of Patients Undergoing Lower Extremity Joint Replacement.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Article
- Optimizing Intraoperative Blood Management for One-Stage Bilateral Total Knee Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2018Review
- Does blood transfusion type affect complication and length of stay following same-day bilateral total knee arthroplasty?Journal of orthopaedics · 2018Article
- Inpatient mortality after orthopaedic surgery.International orthopaedics · 2015Article
- Perioperative morbidity and mortality of same-admission staged bilateral TKA.Clinical orthopaedics and related research · 2015Article
- Perioperative Risk Assessment in Patients Aged 75 Years or Older: Comparison between Bilateral and Unilateral Total Knee Arthroplasty.Knee surgery & related research · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy persists regarding the safety of same-day bilateral TKAs, and indications for same-day versus staged bilateral surgery need to be clarified. QUESTIONS/PURPOSES: We compared the (1) 30-day mortality, (2) rates of in-hospital complications, (3) in-hospital charges, and (4) risk factors for complications among patients undergoing same-day and staged bilateral TKAs at two separate admissions within 1 year either less than 3 months apart (staged 0-3) or more than 3 months apart (staged 3-12) at an institution where same-day bilateral TKAs were discouraged in patients with more severe medical comorbidities.
methodsWe analyzed institutional data from 3960 same-day, 172 staged 0-3, and 1533 staged 3-12 bilateral TKAs performed between 1998 and 2011. Patient demographics, comorbidities, and 30-day mortality were tabulated. Same-day patients were younger and healthier. Outcomes of interest included complications, blood transfusions, transfer to rehabilitation, and in-hospital charges. Regression models were conducted to identify independent risk factors for major morbidity or mortality.
resultsThere were no differences in 30-day mortality among groups. The same-day group experienced more acute postoperative anemia, blood transfusions, and transfers to rehabilitation, but otherwise had complications comparable to those of the staged groups. In-hospital charges were lower in the same-day group. Congestive heart failure and pulmonary hypertension were the most significant factors associated with morbidity and mortality in the same-day group.
conclusionsIn a high-volume subspecialty setting in which patients undergoing same-day bilateral TKAs were generally much healthier and younger, we found that same-day bilateral TKAs appeared to be safe.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.