Pre-existing heart failure (aOR 5.10) and preoperative anemia (aOR 1.77) were independent predictors of major postoperative complications following hip arthroplasty, whereas chronological age was not.
Cohort (n=769)
No
Does advanced age independently predict major postoperative complications in patients undergoing hip arthroplasty?
In patients undergoing hip arthroplasty, increased postoperative risk in older adults is driven by comorbidity burden, specifically heart failure and anemia, rather than chronological age.
Effect estimate: aOR 5.10 (95% CI 1.97-13.20)
p-value: p=<0.001
Increased postoperative risk in older adults is driven by comorbidity burden rather than chronological age. Preoperative anemia and heart failure are critical, independent predictors, with anemia acting as a key mediator for the effects of age. Individualized correction of modifiable comorbidities may be more beneficial than using age alone to assess surgical risk.
Nguyen et al. (Mon,) conducted a cohort in Hip arthroplasty (n=769). Pre-existing heart failure vs. No heart failure was evaluated on Composite of major postoperative complications (aOR 5.10, 95% CI 1.97-13.20, p=<0.001). Pre-existing heart failure (aOR 5.10) and preoperative anemia (aOR 1.77) were independent predictors of major postoperative complications following hip arthroplasty, whereas chronological age was not.