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The Journal of Hip Surgery 2022; 06(01): 015-028
DOI: 10.1055/s-0041-1740179
Original Article

Demographic, Comorbidity, and Episode of Care Trends in Primary Hip Arthroplasty: 2008 to 2018

Ahmed Siddiqi 
1   Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio
,
Jared A. Warren
1   Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio
,
Wael K. Barsoum
2   Department of Orthopedic Surgery, Cleveland Clinic Florida, Weston, Florida
,
Carlos A. Higuera
2   Department of Orthopedic Surgery, Cleveland Clinic Florida, Weston, Florida
,
Michael A. Mont
3   Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
,
Steven F. Harwin
4   Icahn School of Medicine at Mount Sinai, New York, New York
,
Nicolas S. Piuzzi
1   Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio
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Abstract

Background While previous studies have provided insight into time-trends in age and comorbidities of total hip arthroplasty (THA) patients, there is limited recent literature from within the past decade. The implication of these findings is relevant due to the projected THA volume increase and continued emphasis on healthcare system cost-containment policies. Therefore, the purpose of this study was to identify trends in THA patient demographics, comorbidities, and episode of care from 2008 to 2018.

Methods The National Surgical Quality Improvement Program (NSQIP) was queried to identify patient demographics, comorbidities, and episodes of care outcomes in patients undergoing primary THA from 2008 to 2018 (n = 216,524). Trends were analyzed using analysis of variances for continuous variables, while categorical variables were analyzed using chi-squared or Monte Carlo tests, where applicable.

Results From 2008 to 2018, there were no clinically significant differences in age and body mass index (BMI) in patients with BMI over 40 kg/m2. However, modifiable comorbidities including patients with hypertension (60.2% in 2008, 54.3 in 2018%, p < 0.001) and anemia (19% in 2008, 11.2%, in 2016, p < 0.001) improved. Functional status and the overall morbidity probability have improved with a decrease in hospital lengths of stay (4.0 ± 2.8 days in 2008, 2.1 ± 2.2 days in 2018, p < 0.001), 30-day readmissions (4.2% in 2009, 3.3% in 2018, p < 0.001), and significant increase in home-discharges (70.1% in 2008, 87.3% in 2018, p < 0.001).

Conclusion Patient overall health status improved from 2008 to 2018. While conjectural, our findings may be a reflection of a global shift toward value-based comprehensive care centering on patient optimization prior to arthroplasty, quality-of-care, and curtailing costs by mitigating perioperative adverse events.

This study's level of evidence is III.

Keywords

total hip arthroplasty - patient comorbidity trend - patient demographic trend


Publikationsverlauf

Eingereicht: 05. Februar 2021

Angenommen: 14. Oktober 2021

Artikel online veröffentlicht:
26. November 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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