Postoperative outcomes and anesthesia type in total knee arthroplasty in patients with obstructive sleep apnea.
Karam M HabchiVirginia E TangelRoniel Y WeinbergRobert S WhiteDeirdre C KelleherPublished in: Journal of comparative effectiveness research (2022)
Aim: We investigated the relationship between obstructive sleep apnea (OSA), 30/90-day readmission rates and perioperative complications (postoperative cardiovascular, gastrointestinal, infectious or intraoperative complications) in patients undergoing total knee arthroplasty. Materials & methods: We analyzed records of patients who underwent total knee arthroplasty using State Inpatient Databases. Demographics, comorbidities, 30/90-day readmission rates and complications were compared by OSA status. For NY, USA we analyzed outcomes by anesthetic type (regional vs general). Results: OSA patients were mostly male, had more comorbidities and had increased 30/90-day readmission rates. There were no differences in complications. In NY, there were no differences in outcomes by anesthetic type. Conclusion: OSA was associated with increased 30/90-day readmission rates. Within NY, anesthetic type was not associated with any outcomes.
Keyphrases
- obstructive sleep apnea
- total knee arthroplasty
- patients undergoing
- positive airway pressure
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- risk factors
- prognostic factors
- type diabetes
- palliative care
- mental health
- metabolic syndrome
- adipose tissue
- machine learning
- glycemic control
- patient reported
- high resolution
- skeletal muscle