Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

AbstractIntroductionTotal hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications.ObjectiveTo evaluate the association between THA complications and controlled DM during hospitalization period.MethodsCross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia. The chi-squared and Fisher's exact tests were used in SAS statistical program.ResultsMost patients were elderly females. The most prevalent comorbidities in the sample were hypertension and diabetes. The most frequent underlying pathology in the sample was coxarthrosis; among patients with DM, it was femoral neck fracture. The most common complications were changes in the hemolymphopoietic system, among which anemia was the most frequent complication. Cardiovascular, nervous, and blood glucose complications were positively associated with controlled DM. In turn, hemolymphopoietic, genitourinary, digestive, electrolyte, and infectious complications were not associated with DM. Having DM was a protective factor for thermal complications. There was no statistically significant difference between patients that had or did not have DM in each complication group studied.ConclusionPatients with controlled DM did not present more complications than those without DM during hospitalization in the post THA

Associação entre anemia e variáveis sociais e clínicas na artroplastia total de quadril em uma clínica privada em Salvador

Introdução: artroplastia total de quadril (ATQ) é uma cirurgia que visa restabelecer a função da articulação coxofemoral, neste procedimento, a anemia é uma das complicações mais prevalentes. Objetivo: descrever as associações entre a anemia e as variáveis sociais e clínicas dos pacientes no perioperatório da ATQ em um hospital particular localizado em Salvador, Bahia. Resultados: a maioria dos pacientes era do sexo feminino e idoso. A comorbidade mais prevalente foi hipertensão arterial sistêmica (HAS). A complicação mais comum pós cirurgia foi anemia. Houve associação da ATQ com a anemia com gênero, dislipidemia, transfusão sanguínea, tempo de internação hospitalar total e número de bolsas de sangue utilizadas. Conclusões: os pacientes com maiores riscos de desenvolver anemia pós ATQ eram do sexo feminino, portadores de dislipidemia, usaram transfusão sanguínea durante a ATQ. Os anêmicos precisaram de transfusão de mais bolsas de sangue e ficaram mais tempo internados do que os pacientes não anêmicos

Total hip arthroplasty complications in patients with or without controlled diabetes mellitus during hospitalization

ABSTRACT INTRODUCTION: Total hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications. OBJECTIVE: To evaluate the association between THA complications and controlled DM during hospitalization period. METHODS: Cross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia. The chi-squared and Fisher's exact tests were used in SAS statistical program. RESULTS: Most patients were elderly females. The most prevalent comorbidities in the sample were hypertension and diabetes. The most frequent underlying pathology in the sample was coxarthrosis; among patients with DM, it was femoral neck fracture. The most common complications were changes in the hemolymphopoietic system, among which anemia was the most frequent complication. Cardiovascular, nervous, and blood glucose complications were positively associated with controlled DM. In turn, hemolymphopoietic, genitourinary, digestive, electrolyte, and infectious complications were not associated with DM. Having DM was a protective factor for thermal complications. There was no statistically significant difference between patients that had or did not have DM in each complication group studied. CONCLUSION: Patients with controlled DM did not present more complications than those without DM during hospitalization in the post THA