Risk factors for manipulation after total knee arthroplasty: A pooled electronic health record database study

Kiel J. Pfefferle, Scott T. Shemory, Matthew Dilisio, Stephen D. Fening, Ian M. Gradisar

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

A commercially available software platform, Explorys (Explorys, Inc., Cleveland, OH), was used to mine a pooled electronic healthcare database consisting of the medical records of more than 27 million patients. A total of 229,420 patients had undergone a total knee arthroplasty; 3470 (1.51%) patients were identified to have undergone manipulation under anesthesia. Individual risk factors of being female, African American race, age less than 60, BMI >. 30 and nicotine dependence were determined to have relative risk of 1.25, 2.20, 3.46, 1.33 and 1.32 respectively. Depressive disorder, diabetes mellitus, opioid abuse/dependence and rheumatoid arthritis were not significant risk factors. African Americans under the age of 60 at time of TKA had the greatest incidence of MUA (5.17%) and relative risk of 3.73 (CI: 3.36, 4.13).

Original languageEnglish
Pages (from-to)2036-2038
Number of pages3
JournalJournal of Arthroplasty
Volume29
Issue number10
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

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Knee Replacement Arthroplasties
Electronic Health Records
Databases
African Americans
Tobacco Use Disorder
Depressive Disorder
Opioid Analgesics
Medical Records
Rheumatoid Arthritis
Diabetes Mellitus
Software
Anesthesia
Delivery of Health Care
Incidence

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Risk factors for manipulation after total knee arthroplasty : A pooled electronic health record database study. / Pfefferle, Kiel J.; Shemory, Scott T.; Dilisio, Matthew; Fening, Stephen D.; Gradisar, Ian M.

In: Journal of Arthroplasty, Vol. 29, No. 10, 01.10.2014, p. 2036-2038.

Research output: Contribution to journalArticle

Pfefferle, Kiel J. ; Shemory, Scott T. ; Dilisio, Matthew ; Fening, Stephen D. ; Gradisar, Ian M. / Risk factors for manipulation after total knee arthroplasty : A pooled electronic health record database study. In: Journal of Arthroplasty. 2014 ; Vol. 29, No. 10. pp. 2036-2038.
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