Medical morbidities in people following hip and knee arthroplasty: data from the Osteoarthritis Initiative

Smith, Toby ORCID: https://orcid.org/0000-0003-1673-2954, Penny, Florence and Fleetcroft, Robert (2016) Medical morbidities in people following hip and knee arthroplasty: data from the Osteoarthritis Initiative. European Journal of Orthopaedic Surgery & Traumatology, 26 (1). pp. 99-106. ISSN 1633-8065

Preview

PDF (EJOT OAI morbidities manuscript 11.09.2015 ACCEPTED PAPER) - Accepted Version Download (504kB) | Preview

Abstract

Background: Total hip (THA) and knee (TKA) arthroplasty are common orthopaedic procedures most frequently for older people. Whilst it is known that this older population frequently present with medical morbidities, no studies have previously documented the prevalence of such morbidities in people who have undergone THA or TKA. The purpose of this study was to determine the prevalence and what factors are in association with the presentation of medical morbidities in these populations. Methods: Data from the Osteoarthritis Initiative, a population-based observational study, was assessed. In total 419 people who had undergone a THA or TKA were assessed to determine the prevalence of recorded morbidities within 12 months post-arthroplasty. All medical morbidities were then assessed using univariate and then multivariate logistic regression analysis to identify factors influencing the presentation of specific morbidities at 12 months following THA or TKA. Results: The most common medical morbidities included: osteoporosis (16%), mild to moderate depression (8%), cancer (8%), diabetes (6%), history of stroke or TIA (6%) and asthma (5%). The medical morbidities demonstrated are similar between those who undergo THA and TKA. Only gender and ethnic origin were identified as statistically significant predictors of medical morbidities in these populations. Gender was a predictor of history of heart failure, whilst ethnic origin significantly predicted depression. Conclusions: People who undergo THA or TKA may present with a variety of medical morbidities. Accordingly consideration should be made on how to encourage the adoption and maintenance of physical activity and healthy lifestyle choices for this population.

Item Type:	Article
Uncontrolled Keywords:	medical multi-morbidities,joint replacement,orthopaedics,osteoarthritis,older people,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	Pure Connector
Date Deposited:	15 Jan 2016 12:00
Last Modified:	19 Oct 2023 01:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/56332
DOI:	10.1007/s00590-015-1713-3

Downloads

Actions (login required)

View Item