Comparing hospital and patient demographics of adolescent versus adult patients undergoing primary total hip arthroplasty

Katelyn Pratt, Samantha Nguyen, Tony Tzeng, Steven Scaife, Sonia Vasdev, Mouhanad El-Othmani, Khaled Jamal Saleh

Abstract


Objective: Widening surgical indications and advances in technology have facilitated an increased number of total hip arthroplasty (THA) procedures among the adolescent population. The purpose of this study is to improve the understanding of inpatient and hospital demographics of adolescent THA patients as well as to compare these demographics with that of their more prevalent adult counterparts.
Methods: Data from the Kids’ Inpatient Database and the Nationwide Inpatient Sample from 1997-2009 with a total of 1,652 adolescent and 603,968 adult THA patients were analyzed.
Results: Trends among the adolescent THA population included significant increases in procedures, total charges, and complication rates, while length of stay significantly decreased.
Conclusions: The comparison between adult and adolescent demographics found differences in diagnosis, ethnicity, insurance type, discharge status, and total charges.

Full Text:

PDF

References


Begg, M.J.W., et al., Primary total hip replacement in childhood, adolescence and young patients: Quality and outcome of clinical studies. Technology & Health Care, 2008. 16(3): p. 20p.

Polkowski, G.G., et al., Total hip arthroplasty in the very young patient. The Journal of the American Academy of Orthopaedic Surgeons, 2012. 20(8): p. 487-97.

Kamath, A.F., et al., Modern total hip arthroplasty in patients younger than 21 years. The Journal of arthroplasty, 2012. 27(3): p. 402-8.

Patel, N.K., et al., Total hip arthroplasty in teenagers: an alternative to hip arthrodesis. Hip Int, 2012. 22(6): p. 621-7.

Jager, M., et al., Primary total hip replacement in childhood, adolescence and young patients: quality and outcome of clinical studies. Technology and health care : official journal of the European Society for Engineering and Medicine, 2008. 16(3): p. 195-214.

Fassier, F., M. Tanzer, and C.E. Brooks, Total hip arthroplasty in patients younger than 21 years: a minimum 10-year follow-up. Canadian Journal of Surgery, 2003. 46(4): p. 6p.

Busch, V.J.J.F., et al., Long-term results of cemented total hip arthroplasty in patients younger than 30 years and the outcome of subsequent revisions. BMC Musculoskeletal Disorders, 2013. 14(1): p. 9p.

Santaguida, P.L., et al., Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review. Can J Surg, 2008. 51(6): p. 428-36.

Jolles, B.M. and E.R. Bogoch, Juvenile arthritis patients report favorable subjective outcomes of hip arthroplasty despite poor standard outcome scores. The Journal of arthroplasty, 2012. 27(9): p. 1622-8.

Clohisy, J.C., et al., Function and fixation of total hip arthroplasty in patients 25 years of age or younger. Clin Orthop Relat Res, 2010. 468(12): p. 3207-13.

Bartonicek, J., et al., Operative treatment of avascular necrosis of the femoral head after proximal femur fractures in adolescents. International orthopaedics, 2012. 36(1): p. 149-57.

Biasi, D., I. Dal Forno, and S. Adami, Osteonecrosis in Systemic Lupus Erythematosus: An Early, Frequent, and Not Always Symptomatic Complication. Autoimmune Diseases (2090-0422), 2012: p. 7p.

Mahadeo, K.M., et al., Increased prevalence of osteonecrosis of the femoral head in children and adolescents with sickle-cell disease. American journal of hematology, 2011. 86(9): p. 806-8.

Torchia, M.E., R.A. Klassen, and A.J. Bianco, Total hip arthroplasty with cement in patients less than twenty years old. Long-term results. The Journal of bone and joint surgery American volume, 1996. 78(7): p. 995-1003.

Bsila, R.S., A.E. Inglis, and C.S. Ranawat, Joint replacement surgery in patients under thirty. The Journal of bone and joint surgery American volume, 1976. 58(8): p. 1098-104.

Girard, J., et al., Risk factors for revision of hip arthroplasties in patients younger than 30 years. Clinical orthopaedics and related research, 2011. 469(4): p. 1141-7.

Klassen, R.A., R.J. Parlasca, and A.J. Bianco, Jr., Total joint arthroplasty. Applications in children and adolescents. Mayo Clinic proceedings Mayo Clinic, 1979. 54(9): p. 579-82.

Restrepo, C., et al., Uncemented total hip arthroplasty in patients less than twenty-years. Acta orthopaedica Belgica, 2008. 74(5): p. 615-22.

Schoenecker, P.L., et al., Surgical management of the problematic hip in adolescent and young adult patients. The Journal of the American Academy of Orthopaedic Surgeons, 2011. 19(5): p. 275-86.

Liu, S.S., et al., Trends in mortality, complications, and demographics for primary hip arthroplasty in the United States. Int Orthop, 2009. 33(3): p. 643-51.

Alcerro, J.C., J.S. Contreras, and M.D. Rossi, Patient Perceived Outcomes After Primary Hip Arthroplasty: Does Gender Matter? Clinical Orthopaedics & Related Research, 2011. 469(2): p. 7p.

Mowat, F., et al., Prevalence of Primary and Revision Total Hip and Knee Arthroplasty in the United States from 1990 through 2002. Journal of Bone & Joint Surgery, American Volume, 2005. 87-A(7): p. 11p.

Singh, J.A., Epidemiology of knee and hip arthroplasty: a systematic review. Open Orthop J, 2011. 5: p. 80-5.

Mor, M., et al., The Effect of Patient Race on Total Joint Replacement Recommendations and Utilization in the Orthopedic Setting. JGIM: Journal of General Internal Medicine, 2010. 25(9): p. 7p.

Villanueva-Martinez, M., et al., Trends in primary total hip arthroplasty in Spain from 2001 to 2008: Evaluating changes in demographics, comorbidity, incidence rates, length of stay, costs and mortality. BMC Musculoskeletal Disorders, 2011. 12(1): p. 9p.

Lavernia, C.J., et al., Race, ethnicity, insurance coverage, and preoperative status of hip and knee surgical patients. The Journal of arthroplasty, 2004. 19(8): p. 978-85.

Lavernia, C.J., et al., Ethnic and Racial Factors Influencing Well-being, Perceived Pain, and Physical Function After Primary Total Joint Arthroplasty. Clinical Orthopaedics and Related Research, 2011. 469(7): p. 1838-1845.

Ginsberg, P., Can hospitals and physicians shift the effects of cuts in Medicare reimbursement to private payers? Health Aff (Millwood), 2003. Suppl Web Exclusives: p. 472-9.

Thompson, R., et al., Complications and short-term outcomes associated with total hip arthroplasty in teaching and community hospitals. The Journal of arthroplasty, 2002. 17(1): p. 32-40.

Abbas, K., et al., Predictors of length of hospital stay after total hip replacement. Journal of orthopaedic surgery (Hong Kong), 2011. 19(3): p. 284-7.

Tien, W.C., et al., A population-based study of prevalence and hospital charges in total hip and knee replacement. International orthopaedics, 2009. 33(4): p. 949-54.

Husted, H., et al., Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation. Archives of orthopaedic and trauma surgery, 2012. 132(1): p. 101-4.

Pozen, A., S. Tseng, and K.J. Bozic, Variability in Costs Associated with Total Hip and Knee Replacement Implants. Journal of Bone & Joint Surgery, American Volume, 2012. 94-A(18): p. 6p.

Antoniou, J., et al., In-hospital cost of total hip arthroplasty in Canada and the United States. J Bone Joint Surg Am, 2004. 86-A(11): p. 2435-9.

Changes in Surgical Loads and Economic Burden of Hip and Knee Replacements in the US: 1997-2004. Arthritis & Rheumatism, 2008. 58(4): p. 8p.

Woolson, S.T. and M.N. Kang, A comparison of the results of total hip and knee arthroplasty performed on a teaching service or a private practice service. J Bone Joint Surg Am, 2007. 89(3): p. 601-7.

Girard, J., et al., Metal-on-metal hip arthroplasty in patients thirty years of age or younger. J Bone Joint Surg Am, 2010. 92(14): p. 2419-26.

Rothwell, A.G., N.M. Hooper, and C. Frampton, The Relationship Between the American Society of Anesthesiologists Physical Rating and Outcome Following Total Hip and Knee Arthroplasty. Journal of Bone & Joint Surgery, American Volume, 2012. 94-A(12): p. 6p.

Chang, R.W., J.M. Pellisier, and G.B. Hazen, A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA : the journal of the American Medical Association, 1996. 275(11): p. 858-65.

Ulrich, S.D., et al., Total hip arthroplasties: what are the reasons for revision? International orthopaedics, 2008. 32(5): p. 597-604.




DOI: https://doi.org/10.5430/css.v2n1p11

Refbacks

  • There are currently no refbacks.


Case Studies in Surgery  ISSN 2377-7311(Print)  ISSN 2377-732X(Online)

Copyright © Sciedu Press

To make sure that you can receive messages from us, please add the 'sciedu.ca' and ‘sciedupress.com’ domains to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', please check your 'spam' or 'junk' folder.