Document Detail


Total Joint Arthroplasty in Patients with Obstructive Sleep Apnea: Strategies for Reduction of Perioperative Complications.
MedLine Citation:
PMID:  22505000     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Obstructive sleep apnea (OSA) has been associated with increased risk for medical complications following total joint arthroplasty. Our institution employs postoperative precautions for OSA patients in an effort to minimize the impact of postoperative complications in this group. We performed this study to assess the effect of careful monitoring on postoperative complication rates in OSA patients. We identified patients with a clinically suspected or objective diagnosis of OSA who received total joint arthroplasty between January 1998 and January 2008. 1016 cases in 792 OSA patients were matched to 1016 cases in 993 control patients to compare complication rates. There were no differences between OSA and control patients in cardiovascular and respiratory complications following TJA. Patients with OSA experienced increased rates of postoperative acute renal failure when compared with controls (p = 0.02) and experienced mild desaturations (Hb O2 < 92%) (p = 0.002), but not severe desaturations (Hb O2 < 88%) (p = 0.2). We conclude that our postoperative monitoring protocols are successful in reducing postoperative complications most commonly associated with OSA. We were interested to note the increased risk for OSA patients to develop postoperative acute renal failure and believe that future study is warranted to explore the link between OSA and renal failure.
Authors:
James Cashman; Orhan Bican; Ravi Patel; Christina Jacovides; Chelsea Dalsey; Javad Parvizi
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-01
Journal Detail:
Title:  Surgical technology international     Volume:  XXI     ISSN:  1090-3941     ISO Abbreviation:  -     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-4-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  261-266     Citation Subset:  -    
Affiliation:
Arthroplasty Fellow, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
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