Complications and Risk Factors for Morbidity in Elective Hip Arthroscopy: A Review of 1325 Cases

Chris A Anthony; Andrew J Pugely; Yubo Gao; Robert R Westermann; Christopher T Martin; Brian R Wolf; Annunziato Amendola

Complications and Risk Factors for Morbidity in Elective Hip Arthroscopy: A Review of 1325 Cases

Journal article

Peer reviewed

Complications and Risk Factors for Morbidity in Elective Hip Arthroscopy: A Review of 1325 Cases

Chris A Anthony, Andrew J Pugely, Yubo Gao, Robert R Westermann, Christopher T Martin, Brian R Wolf and Annunziato Amendola

The American journal of orthopedics (Belle Mead, N.J.), Vol.46(1), pp.E1-E9

01/2017

PMID: 28235115

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Abstract

We conducted a study of elective hip arthroscopy patients to determine type and incidence of complications and rates of and risk factors for minor and major morbidity. Retrospectively searching the National Surgical Quality Improvement Program database, we identified 1325 patients who underwent elective hip arthroscopy between 2006 and 2013. Univariate and subsequent multivariate analyses were used to identify risk factors for complications. Of the 1325 patients identified, 16 (1.21%) had at least 1 complication, and 6 (0.45%) had at least 1 major complication. The most common complication was bleeding resulting in transfusion (6 patients, 0.45%). Multivariate analysis found age over 65 years was an independent predictor of any complication (odds ratio [OR], 6.52; 95% confidence interval [CI], 1.35-31.54) and minor morbidity (OR, 7.97; 95% CI, 1.21-52.72). Short-term morbidity after elective hip arthroscopy was low, and we conclude that hip arthroscopy should be considered a low-risk procedure. Surgeons who perform hip arthroscopy should be aware that age over 65 years is a risk factor for complications. These results may aid surgeons in counseling patients and may aid health systems in performing quality assessments.

Humans

Middle Aged

Postoperative Hemorrhage - epidemiology

Risk Factors

Elective Surgical Procedures - adverse effects

Male

Postoperative Complications - epidemiology

Incidence

Postoperative Hemorrhage - etiology

Adult

Female

Aged

Retrospective Studies

Arthroscopy - adverse effects

Databases, Factual

Details

Title: Subtitle: Complications and Risk Factors for Morbidity in Elective Hip Arthroscopy: A Review of 1325 Cases
Creators: Chris A Anthony - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA. chris-anthony@uiowa.edu
Andrew J Pugely
Yubo Gao
Robert R Westermann
Christopher T Martin
Brian R Wolf
Annunziato Amendola
Resource Type: Journal article
Publication Details: The American journal of orthopedics (Belle Mead, N.J.), Vol.46(1), pp.E1-E9
Publisher: United States
PMID: 28235115
eISSN: 1934-3418
Language: English
Date published: 01/2017
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Internal Medicine; Athletic Training Program
Record Identifier: 9984040475602771

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