Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000200223 |
Resumo: | Abstract Objective To define the epidemiological profile and the associated comorbidities of patients submitted to total knee arthroplasty (TKA) in two reference hospitals. Methods During the present cross-sectional observational study, 294 patients submitted to TKA were evaluated in 2 tertiary care hospitals. The diagnosis of selfreported comorbidities was collected by direct interview. The Functional Comorbidity Index (FCI) and the 5-Factor Modified Frailty Index (mFI-5) were calculated. The incidence of comorbidities and their relationship with the calculated indexes were evaluated. Results Most of the patients in the sample were women (p¼ 0.000) between the seventh and eighth decades of life. Systemic arterial hypertension was the most common pathology, followed by obesity and diabetes mellitus. The FCI presented a direct relationship with females (p¼ 0.038) and obesity (p< 0.001). The mFI-5 was only associated to obesity (p¼ 0.022), demonstrating a higher chance of complications in this group. Conclusion Patients undergoing TKA are essentially carriers of clinical comorbidities that can negatively influence functional results and compromise the safety of the procedure. The identification of risk factors can contribute to the safety and better selection of TKA candidates. |
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Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplastyarthroplastykneecomorbidityepidemiologypostoperative complicationsAbstract Objective To define the epidemiological profile and the associated comorbidities of patients submitted to total knee arthroplasty (TKA) in two reference hospitals. Methods During the present cross-sectional observational study, 294 patients submitted to TKA were evaluated in 2 tertiary care hospitals. The diagnosis of selfreported comorbidities was collected by direct interview. The Functional Comorbidity Index (FCI) and the 5-Factor Modified Frailty Index (mFI-5) were calculated. The incidence of comorbidities and their relationship with the calculated indexes were evaluated. Results Most of the patients in the sample were women (p¼ 0.000) between the seventh and eighth decades of life. Systemic arterial hypertension was the most common pathology, followed by obesity and diabetes mellitus. The FCI presented a direct relationship with females (p¼ 0.038) and obesity (p< 0.001). The mFI-5 was only associated to obesity (p¼ 0.022), demonstrating a higher chance of complications in this group. Conclusion Patients undergoing TKA are essentially carriers of clinical comorbidities that can negatively influence functional results and compromise the safety of the procedure. The identification of risk factors can contribute to the safety and better selection of TKA candidates.Sociedade Brasileira de Ortopedia e Traumatologia2022-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000200223Revista Brasileira de Ortopedia v.57 n.2 2022reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0041-1724080info:eu-repo/semantics/openAccessLoures,Fabrício BolpatoGóes,Rogério Franco de AraújoGusmão,Caio VelosoAlbuquerque,Rodrigo Sattamini Pires eLabronici,Pedro Joséeng2022-07-04T00:00:00Zoai:scielo:S0102-36162022000200223Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2022-07-04T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
title |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
spellingShingle |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty Loures,Fabrício Bolpato arthroplasty knee comorbidity epidemiology postoperative complications |
title_short |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
title_full |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
title_fullStr |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
title_full_unstemmed |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
title_sort |
Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty |
author |
Loures,Fabrício Bolpato |
author_facet |
Loures,Fabrício Bolpato Góes,Rogério Franco de Araújo Gusmão,Caio Veloso Albuquerque,Rodrigo Sattamini Pires e Labronici,Pedro José |
author_role |
author |
author2 |
Góes,Rogério Franco de Araújo Gusmão,Caio Veloso Albuquerque,Rodrigo Sattamini Pires e Labronici,Pedro José |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Loures,Fabrício Bolpato Góes,Rogério Franco de Araújo Gusmão,Caio Veloso Albuquerque,Rodrigo Sattamini Pires e Labronici,Pedro José |
dc.subject.por.fl_str_mv |
arthroplasty knee comorbidity epidemiology postoperative complications |
topic |
arthroplasty knee comorbidity epidemiology postoperative complications |
description |
Abstract Objective To define the epidemiological profile and the associated comorbidities of patients submitted to total knee arthroplasty (TKA) in two reference hospitals. Methods During the present cross-sectional observational study, 294 patients submitted to TKA were evaluated in 2 tertiary care hospitals. The diagnosis of selfreported comorbidities was collected by direct interview. The Functional Comorbidity Index (FCI) and the 5-Factor Modified Frailty Index (mFI-5) were calculated. The incidence of comorbidities and their relationship with the calculated indexes were evaluated. Results Most of the patients in the sample were women (p¼ 0.000) between the seventh and eighth decades of life. Systemic arterial hypertension was the most common pathology, followed by obesity and diabetes mellitus. The FCI presented a direct relationship with females (p¼ 0.038) and obesity (p< 0.001). The mFI-5 was only associated to obesity (p¼ 0.022), demonstrating a higher chance of complications in this group. Conclusion Patients undergoing TKA are essentially carriers of clinical comorbidities that can negatively influence functional results and compromise the safety of the procedure. The identification of risk factors can contribute to the safety and better selection of TKA candidates. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000200223 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000200223 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0041-1724080 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.57 n.2 2022 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122363298709504 |