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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۱، صفحات ۴۷-۵۲
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عنوان انگلیسی Cost and Early Complication Analysis Following Total Hip Arthroplasty in Parkinson’s Disease Patients: A Propensity-matched Database Study
چکیده انگلیسی مقاله Background: Parkinson’s Disease is a well-known neuromuscular disorder, which affects the stability and gait of elderly patients. With the progressive increase in the life span of patients with PD, the problem of degenerative arthritis and the consequent need for total hip arthroplasty (THA) in this cohort are rising. There is paucity of data in the existing literature regarding the healthcare costs and overall outcome following THA in PD patients. The current study was planned to assess the hospital expenditure, details regarding hospital stay, and complication rates for patients with PD, who underwent THA. Methods: We investigated the National Inpatient Sample data to identify PD patients, who underwent hip arthroplasty from 2016 to 2019. Using propensity score, PD patients were matched 1:1 to patients without PD by age, gender, non-elective admission, tobacco use, diabetes, and obesity. Chi-square and T-tests were used for analyzing categorical and non-categorical variables, respectively (Fischer-Exact test was employed for values< 5).Results: Overall, 367,890 (1927 patients with PD) THAs were performed between 2016 and 2019. Before matching, PD group had significantly greater proportion of older patients, males, and non-elective admissions for THA (P< 0.001). After matching, PD group had higher total hospital costs, longer hospital stay, greater blood loss anemia, and prosthetic dislocation (P< 0.001). The in-hospital mortality was similar between the two groups. Conclusion: Patients with PD undergoing THA required greater proportion of emergent hospital admissions. Based on our study, the diagnosis of PD showed significant association with greater cost of care, longer hospital stay, and higher post-operative complications. Level of evidence: II
کلیدواژه‌های انگلیسی مقاله Parkinson’s disease, Total hip arthroplasty
نویسندگان مقاله | Akshay Goel
Department of Orthopaedic Surgery, Joan C. Edwards school of medicine, Marshall University, Huntington, WV, Huntington, West Virginia, USA


| Vibhu Krishnan Viswanathan
University of Calgary, Calgary, Alberta, Canada


| Prabhudev Prasad Purudappa
Department of Orthopedic Surgery, Boston University, Boston VAMC, Boston, Massachusetts, USA


| Vishaal Sakthivelan
School of Medicine, University of Texas medical Branch,Texas, USA


| Varatharaj Mounsamy
Department of Orthopedic Surgery, University of Texas Southwestern, Dallas VAMC, Dallas, Texas, USA


| Senthil Sambandam
Department of Orthopedic Surgery, University of Texas Southwestern, Dallas VAMC, Dallas, Texas, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_21551.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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