Log in to search using one of your social media accounts:

 

Preoperative Hyponatremia Is Associated with Reoperation and Prolonged Length of Hospital Stay following Total Knee Arthroplasty

J Knee Surg DOI: 10.1055/s-0038-1641156Hyponatremia is a risk factor for adverse surgical outcomes, but limited information is available on the prognosis of hyponatremic patients who undergo total knee arthroplasty (TKA). The purpose of this investigation was to compare the incidence of major morbidity (MM), 30-day readmission, 30-day reoperation, and length of hospital stay (LOS) between normonatremic and hypontremic TKA patients.The American College of Surgeons National Surgical Quality Improvement Program database was used to identify all primary TKA procedures. Hyponatremia was defined as 145 mEq/L) were excluded. Multivariable logistic regression was used to determine the association between hyponatremia and outcomes after adjusting for demographics and comorbidities. An α level of 0.002 was used and calculated using the Bonferroni correction. Our final analysis included 88,103 patients of which 3,763 were hyponatremic and 84,340 were normonatremic preoperatively. In our multivariable models, hyponatremic patients did not have significantly higher odds of experiencing an MM (odds ratio [OR]: 1.05; 99% confidence interval [CI] 0.93–1.19) or readmission (OR: 1.12; 99% CI: 1–1.24). However, patients with hyponatremia did experience significantly greater odds for reoperation (OR: 1.24; 99% CI: 1.05–1.46) and longer hospital stay (OR: 1.15; 99% CI: 1.09–1.21). We found that hyponatremic patients undergoing TKA had increased odds of reoperation an...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

Related Links:

Lu Liu, Yuan-Wei Yao, Chiang-shan R. Li, Jin-Tao Zhang, Cui-Cui Xia, Jing Lan, Shan-Shan Ma, Nan Zhou, Xiao-Yi Fang
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Lea Sch äppi, Katharina Stegmayer, Petra V. Viher, Sebastian Walther
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Lars de Vroege, Wilco H. M. Emons, Klaas Sijtsma, Christina M. van der Feltz-Cornelis
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Amie L. Severino, Arash Shadfar, Joshua K. Hakimian, Oliver Crane, Ganeev Singh, Keith Heinzerling, Wendy M. Walwyn
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Jo ão Gama Marques, Filipe Arantes-Gonçalves
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: Using data representing over 99% of U.S. population, we found that incidence rates of distant-stage prostate cancer significantly increased during 2010-2014 among men in certain ages, in white, and with non-Hispanic ethnicity. PMID: 29678312 [PubMed - in process]
Source: Annals of Epidemiology - Category: Epidemiology Authors: Tags: Ann Epidemiol Source Type: research
CONCLUSION: CRC incidence increased with neighborhood disadvantage and racial disparities diminished with mounting disadvantage. Our results suggest additional dimensions to racial disparities in CRC outside of neighborhood disadvantage that warrants further research. PMID: 29678311 [PubMed - in process]
Source: Annals of Epidemiology - Category: Epidemiology Authors: Tags: Ann Epidemiol Source Type: research
Conclusion: Our results suggest that the concentration of serum calcium is higher in patients with more severe artery stenosis lesions and that the phosphatidylinositol signaling system is a key biological pathway involved in this process.Cell Physiol Biochem 2018;46:1189 –1197
Source: Cellular Physiology and Biochemistry - Category: Cytology Source Type: research
Conclusion: Rat hepatocytes with their intermediate rate of oxygen consumption also possess an intermediate CO2 permeability. From pairs of data for five types of cells/organelles, we find an excellent positive linear correlation between PCO2 and metabolic rate, suggesting an adaptation of PCO2 to the rate of O2 consumption.Cell Physiol Biochem 2018;46:1198 –1208
Source: Cellular Physiology and Biochemistry - Category: Cytology Source Type: research
Martin G. K öllner
Source: Frontiers in Human Neuroscience - Category: Neuroscience Source Type: research
More News: Databases & Libraries | Hospitals | Study