Occurrence of late postoperative knee and hip arthroplasty postoperative complications / Ocorrência de complicações no pós-operatório tardio de artroplastia de joelho e quadril
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v13.9692Keywords:
Procedimentos Cirúrgicos Operatórios, Complicações Pós-operatórias, Vigilância Epidemiológica, Infecções, Assistência Domiciliar.Abstract
Objetivo: avaliar a prevalência de complicações no pós-operatório e sua associação com variáveis sociodemográficas e clínicas. Métodos: Trata-se de um estudo descritivo, de seguimento prospectivo, realizado com 99 pacientes de um hospital de ensino. Os participantes foram selecionados por amostragem intencional (referencia) e seguidos por 30 dias após a alta do hospital. Realizou-se análises descritivas, univariadas e bivariadas Resultados: 32 (32,3%) pacientes desenvolveram ao menos uma complicação, sendo que 10 (10,1%) desenvolveram mais de uma complicação num seguimento de 30 dias. Dor (31; 31,3%) e Infecção (12; 12,1%) foram as complicações mais prevalentes. Identificou-se associação estatística entre o desfecho clinico dos pacientes submetidos a cirurgia de joelho e quadril e a presença de complicações no pós-operatório (p<0,001). Conclusão: A ocorrência de complicações no pós-operatório de artroplastia de joelho e quadril num seguimento de 30 dias foi elevada, com destaque para a dor e infecção local.
Downloads
References
Onggo JR, Onggo JD, Steiger R, Hau R. The Efficacy and Safety of Inpatient Rehabilitation Compared With Home Discharge After Hip or Knee Arthroplasty: A Meta-Analysis and Systematic Review. J Arthroplasty [Internet]. 2019 [cited 2020 Jan 16]; 34(8):1823-30. Available: https://www.ncbi.nlm.nih.gov/pubmed/31053467
Runner RP, Gottschalk MB, Staley CA, Pour AE, Roberson JR. Utilization Patterns, Efficacy, and Complications of Venous Thromboembolism Prophylaxis Strategies in Primary Hip and Knee Arthroplasty as Reported by American Board of Orthopedic Surgery Part II Candidates. J Arthroplasty. [Internet]. 2019 [cited 2020 Jan 16];34(4):729-734. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30685257
Inacio MCS, Graves SE, Pratt NL, Roughead EE, Nemes S. Increase in Total Joint Arthroplasty Projected from 2014 to 2046 in Australia: A Conservative Local Model With International Implications. Clin Orthop Relat Res. [Internet]. 2017 [cited 2020 Jan 16];475(8):2130-37. doi: 10.1007/s11999-017-5377-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30685257
Jergesen HE, Thielen ZP, Roever JA, Vashon TT, Wu HH, Yi PH. Primary Hip and Knee Arthroplasty in a Safety Net Hospital: Substance Abuse and Other Factors Affecting Short-term Complications. J Arthroplasty. [Internet]. 2018 [cited 2020 Jan 16]; 33(9):3003-08. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29853309
Edwards PK, Mears SC, Stambough JB, Foster SE, Barnes CL. Choices, Compromises, and Controversies in Total Knee and Total Hip Arthroplasty Modifiable Risk Factors: What You Need to Know. J Arthroplasty. [Internet]. 2018 [cited 2020 Jan 16];33(10):3101-06. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29573920
Paxton EW, Inacio MC, Singh JA, Love R, Bini SA, Namba RS. Are There Modifiable Risk Factors for Hospital Readmission After Total Hip Arthroplasty in a US Healthcare System? Clin Orthop Relat Res. [Internet]. 2015 [cited 2020 Jan 16];473(11):3446-55. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25845947
Agencia Nacional de Vigilância (BR). NOTA TÉCNICA GVIMS/GGTES Nº 01/2019. Orientações para a notificação nacional das Infecções Relacionadas à Assistência à Saúde (IRAS), Resistência Microbiana (RM) e monitoramento do consumo de antimicrobianos no ano de 2019. Available from: http://portal.anvisa.gov.br/documents/33852/271855/Nota+t%C3%A9cnica+n%C2%BA+01-2019+GVIMS-GGTES-ANVISA/fe25a070-06fd-42ff-962f-e80758ebc4e1
Matos MCB, Oliveira LB, Queiroz AAFLN, Sousa AFL, Valle ARMC, Andrade D et al. Nursing professionals' knowledge regarding the management of waste produced in primary health care. Rev Bras Enferm [Internet]. 2018 [cited 2020 Jan 16]; 71(Suppl 6):2728-34. Available from: http://dx.doi.org/10.1590/0034-7167-2018-0308.
Sousa AFL, Hermann PRS, Fronteira I, Andrade D. Monitorização de complicações pós-operatórias no ambiente domiciliar. Rev Rene. 2019; 20. In Press.
Falcão FRC, Dias BAG, Wolfovitch LA, Sadigursky D. Complicações pós-artroplastia total de quadril em portadores e não portadores de diabetes mellitus controlado durante a internação. Rev bras ortop. [Internet]. 2016 [cited 2020 Jan 15] ; 51( 5 ): 589-96. Available from: http://dx.doi.org/10.1016/j.rboe.2016.08.016.
Wagner ER, Kamath AF, Fruth KM, Harmsen WS, Berry DJ. Effect of Body Mass Index on Complications and Reoperations After Total Hip Arthroplasty. J Bone Joint Surg Am. [Internet]. 2016 [cited 2020 Jan 16];98(3):169-79. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26842406
Badarudeen S, Shu AC, Ong KL, Baykal D, Lau E, Malkani AL. Complications After Revision Total Hip Arthroplasty in the Medicare Population. J Arthroplasty. 2017 Jun;32(6):1954-1958. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28236550
Chammout G, Muren O, Laurencikas E, Bodén H, Kelly-Pettersson P, Sjöö H, et al. More complications with uncemented than cemented femoral stems in total hip replacement for displaced femoral neck fractures in the elderly. Acta Orthop. [Internet]. 2017 [cited 2020 Jan 16];88(2):145-51. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385108/
Rogmark C, Leonardsson O. Hip arthroplasty for the treatment of displaced fractures of the femoral neck in elderly patients. Bone Joint J. [Internet]. 2016 [cited 2020 Jan 16];98-B(3):291-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26920951
Bovonratwet P, Malpani R, Ottesen TD, Tyagi V, Ondeck NT, Rubin LE, et al. Aseptic revision total hip arthroplasty in the elderly : quantifying the risks for patients over 80 years old. Bone Joint J. [Internet]. 2018 [cited 2020 Jan 16];100-B(2):143-151. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29437055
Carvalho Júnior LH, Temponi EF, Badet R. Infecção em artroplastia total de joelho: diagnóstico e tratamento. Rev bras ortop. [Internet]. 2018 [cited 2020 Jan 16]; 48(5): 389-96. Available from: https://rbo.org.br/detalhes/96/pt-BR/infeccao-em-artroplastia-total-de-joelho--diagnostico-e-tratamento
Johnson Q, Borsheski RR, Reeves-Viets JL. Pain management mini-series. Part I. A review of management of acute pain. Mo Med. [Internet]. 2013 [cited 2020 Jan 16];110(1):74-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23457757
Wardhan R, Chelly J. Recent advances in acute pain management: understanding the mechanisms of acute pain, the prescription of opioids, and the role of multimodal pain therapy. F1000Res. [Internet]. 2017 [cited 2020 Jan 16];6:2065. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29225793
Liu Z, Dumville JC, Norman G, Westby MJ, Blazeby J, McFarlane E, et al. Intraoperative interventions for preventing surgical site infection: an overview of Cochrane Reviews. Cochrane Database Syst Rev. [Internet]. 2018 [cited 2020 Jan 16];2(2):CD012653. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29406579
Ali-Mucheru MN, Seville MT, Miller V, Sampathkumar P, Etzioni DA. Postoperative Surgical Site Infections: Understanding the Discordance Between Surveillance Systems. Ann Surg. [Internet]. 2020 [cited 2020 Jan 16];271(1):94-99. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29672402
Fu RH, Weinstein AL, Chang MM, Argenziano M, Ascherman JA, Rohde CH. Risk factors of infected sternal wounds versus sterile wound dehiscence. J Surg Res. [Internet]. 2016 [cited 2020 Jan 16]; 200(1):400-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26371410
Carvalho Júnior LH, Castro CAC, Gonçalves MBJ, Rodrigues LCM, Lopes FL, Cunha FVP. Short-term complications of knee total arthroplasty: evaluation of 120 cases. Rev. bras Ortop [Internet]. 2016 [cited 2020 Jan 16];41(5):162-6. Available from:
Khan M, Osman K, Green G, Haddad FS. The epidemiology of failure in total knee arthroplasty: avoiding your next revision. Bone Joint J. [Internet]. 2016 [cited 2020 Jan 16]; 98-B (supl A):105–12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450576/
Barry JJ, Thielen Z, Sing DC, Yi PH, Hansen EN, Ries M. Length of Endoprosthetic Reconstruction in Revision Knee Arthroplasty Is Associated With Complications and Reoperations. Clin Orthop Relat Res. [Internet]. 2017 [cited 2020 Jan 16];475 (1): 72-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27093862
Published
Versions
- 2021-09-08 (2)
- 2021-09-01 (1)
How to Cite
Issue
Section
License
Copyright (c) 2021 JRFCO
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
TRANSFER AGREEMENT COPYRIGHT I transfer copyright of the article to the Journal of Care Survey is Fundamental - Online - RPCF, so it is accepted due to electronic publishing. The copyright includes the right to reproduce in whole or in part by any means, distributing that article, including figures, photographs, and any translations. The author can also print and distribute copies of your article, stating that since the rights belong to RPCF. I declare that this manuscript is original and has not been submitted for publication, in whole or in part to other online journals or not, so BMMC in the Annals of scientific events or book chapters.
