Uygar DASAR, Sualp TURAN, Alper DEVECİ, Güzelali ÖZDEMİR, Deniz ÇANKAYA, Olgun BİNGOL

TOTAL KALÇA ARTROPLASTİSİ SONRASİ KOMPLİKASYON ORANLARINI ETKİLEYEN SOSYAL VE DEMOGRAFİK FAKTÖRLER

Amaç: Sosyal ve demografik faktörler değişik tıbbi durumlarda sonuçu etkileyen önemli faktörlerdir, ancak total kalça artroplastisi sonrası bu faktörlerin sonuçlara etkisi çok da iyi anlaşılamamıştır. Bu çalışmada; sosyal, demografik ve klinik faktörlerin, total kalça artroplastisi (TKA) sonrası komplikasyon oranlarına etkisini değerlendirdik.Gereç ve Yöntemler: Bu çok merkezli retrospektif çalışmaya; TKA uygulanan 38 erkek ve 69 kadın olmak üzere 107 hasta (ortalama yaş; 66, aralık:54-80 yaşlar) alındı. Hastaların vücut kitle indeksi (VKİ), anestezi tipi, Amerikan Anestezistler Derneğinin (ASA -American Society of Anesthesiologists) skoru (ASA), ameliyat süreleri ve ağrının kronikleşme süresi klinik kayıtlarından tarandı. Medeni durum, eğitim düzeyi, sigara alışkanlığı ve hastaların yaşam şekli gibi veriler kaydedildi. İlk iki yıllık takip sürecinde görülen komplikasyonlar da kaydedildi.Bulgular: Cinsiyet, yaş, eğitim düzeyi, anestezi tipi ve operasyon süresi yönünden ameliyat sonrası komplikasyon görülen ve görülmeyen hastalar arasında fark yoktu (p>0.05). Komplikasyon görülen hastalarda, daha yüksek VKİ (p=0.016), ASA skoru (p=0.037) ve kronik ağrı süresi (p=0.000) vardı. Yalnız ya da huzurevinde yaşayan, evli olmayan ve sigara kullanan hastalarda daha yüksek komplikasyon oranları (p

Social and Demographic Factors Influencing the Complication Rates After Total Hip Arthroplasty

Introduction: Social and demographic factors are important factors that influencing outcomes in a number of medical conditions but their role in total hip arthroplasty is poorly understood. We evaluated the effect of social, demographic and clinical factors on complication rates after total hip arthroplasty (THA).Material and Methods: This multicentre retrospective study included 107 patients (38 men, 69 women; mean age 66 years; range 54 to 80 years) undergoing THA. The body mass index (BMI), anaesthesia type, ASA score, operation time and chronicity of the pain were screened. Marital status, education, smoking habit and living style of the patients were recorded. Complications were also recorded from regular first two-year follow-up. Results: Regarding to the gender, age, education level, anaesthesia type and operation time, there was no differences between the patients who had postoperative complication or not (p>0.05). Patients who have complications have higher BMI (p=0.016), ASA score (p=0.037) and chronic pain duration (p=0.000) Patients who lived alone or lived in nursing home, were not married and smoked, had higher complication rates (p

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