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Total knee arthroplasty is safe for patients aged ≥80 years in Hong Kong.
- Source :
-
Hong Kong medical journal = Xianggang yi xue za zhi [Hong Kong Med J] 2021 Oct; Vol. 27 (5), pp. 350-354. - Publication Year :
- 2021
-
Abstract
- Introduction: Total knee arthroplasty (TKA) is an efficacious operation that improves pain and function in patients with knee arthritis. Because of the population ageing trend in Hong Kong, there is a need to determine the safety profile of TKA in older patients. This study examined the age of patients who underwent TKA in the past 10 years in Hong Kong; the aim was to investigate the mortality safety profile and clinical outcomes of TKA in patients aged ≥80 years.<br />Methods: This study included all patients who underwent primary TKA in the Hospital Authority (HA) from 2010 to 2019. Incidences of 30-day, 90-day, and 1-year mortality were established. Clinical outcomes of patients aged ≥80 years in one cluster of HA hospitals were assessed.<br />Results: Between 2010 and 2019, 25 040 TKA procedures were conducted in all HA hospitals; 2491 were conducted in patients aged ≥80 years. The median age at operation was higher during 2015-2019 than during 2010-2014 (70 vs 69 years; P<0.001); furthermore, an increase was observed in the proportion of patients aged ≥80 years at the time of operation. Incidences of 30-day, 90-day, and 1-year mortality were 0.156%, 0.35%, and 1.09%, respectively.<br />Conclusions: In this first study to examine the safety profile of TKA in older patients in Hong Kong, the mean age at the time of TKA and proportion of patients aged ≥80 years have steadily risen in the past decade. Even in older patients, TKA is a reasonably safe procedure.
Details
- Language :
- English
- ISSN :
- 1024-2708
- Volume :
- 27
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Hong Kong medical journal = Xianggang yi xue za zhi
- Publication Type :
- Academic Journal
- Accession number :
- 34706985
- Full Text :
- https://doi.org/10.12809/hkmj208942