ArticleInternational journal of chronic obstructive pulmonary disease2018
COPD as a risk factor of the complications in lower limb arthroplasty: a patient-matched study.
Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 31 citations in OpenAlex.
- Chronic corticosteroid use does not increase short-term complications following carpometacarpal arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Fixation of rib fractures is beneficial for patients with chronic obstructive pulmonary disease, a trauma quality improvement program study.Journal of orthopaedic surgery and research · 2024Article
- COPD Patient's Outcomes following Total Knee Arthroplasty-An Analysis of the National Inpatients Sampling (2016-2020).Journal of clinical medicine · 2024Article
- Smoking Is Markedly Associated With 30-Day Readmission and Revision Surgery After Surgical Treatment of Clavicle Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Fractures in Patients With Diabetes Mellitus: Findings From a 20-year Registry at a Single Level 1 Trauma Center.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Case-matched Comparison of Implant-based Breast Reconstruction with and without Acellular Dermal Matrix.Plastic and reconstructive surgery. Global open · 2024Article
- Trends in deep vein thrombosis prophylaxis after total hip arthroplasty: 2016 to 2021.Journal of orthopaedics · 2024Article
- Chronic obstructive pulmonary disease is an independent risk factor for increased opioid use in total hip arthroplasty: A retrospective PearlDiver study.Journal of orthopaedics · 2023Article
- Impact of Chronic Obstructive Pulmonary Disease on Outcomes After Total Joint Arthroplasty: A Meta-analysis and Systematic Review.Indian journal of orthopaedics · 2023Article
- Preoperative Predictors of Same-Day Discharge After Total Knee Arthroplasty.Arthroplasty today · 2021Article
- Analysis of early failure rate and its risk factor with 2157 total ankle replacements.Scientific reports · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: A relevant proportion of patients undergoing joint replacement surgery for the treatment of osteoarthritis exhibit COPD. This coincidence may result from an increased prevalence of both the diseases in elderly patients. In this study, COPD, which is known to be associated with a variety of comorbidities, and its potential interactions, eg, mediated via systemic inflammation, are discussed. The purpose of the present study was to identify the role of COPD as an independent risk factor for complications after total knee and hip arthroplasty. Patients and methods: In a monocentric patient cohort of 2,760 arthoplasties, propensity score matching was done using the following factors: sex, age, replaced joint, American Society of Anesthesiologists' score, body mass index, hypertension, chronic heart disease, anticoagulation, diabetes mellitus, chronic renal deficiency, and actual smoking status to create 224 pairs. Both the pre-matched differences and the results after propensity score matching were statistically analyzed with Results: All confounders were eliminated after matching. Preoperatively measured C-reactive protein and leukocytes were higher in the COPD group ( Conclusion: COPD was associated with an increased length of hospital stay, a higher risk of pneumonia and wound infection, higher general complications, and an increased need for red blood cell transfusion. It is thus recommended to enhance the implementation of pneumonia prevention programs on surgical wards.
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