The Patient's Age and American Society of Anesthesiologists Status Are Reasonable Criteria for Deciding Whether to Perform Same-Day Bilateral TKA

In Jun Koh; Geon Hyeong Kim; Chae Gwan Kong; Se Wook Park; Tae Yong Park; Yong In

doi:10.1016/j.arth.2014.12.004

The Patient's Age and American Society of Anesthesiologists Status Are Reasonable Criteria for Deciding Whether to Perform Same-Day Bilateral TKA

In Jun Koh
, Geon Hyeong Kim
, Chae Gwan Kong
, Se Wook Park
, Tae Yong Park
, Yong In

Department of Orthopedics

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

We investigated whether basing a decision to perform same-day bilateral TKA (SD BTKA) on the patient's age and American Society of Anesthesiologists (ASA) status was reasonable. We retrospectively reviewed the records of 1386 patients who underwent 2086 TKAs (686 unilateral TKAs [UTKAs], 1038 SD BTKAs, and 362 one-week staged BTKAs). For the entire cohort, patients undergoing SD BTKA had a higher risk of major complications compared to those undergoing UTKA. However, there was no difference in the incidence of complications for patients aged. <. 75. years with an ASA status of 1 or 2 who underwent UTKA or SD BTKA. If patients are selected based on age and ASA status, SD BTKA may have a risk of postoperative complication similar to UTKA.

Original language	English
Pages (from-to)	770-775
Number of pages	6
Journal	Journal of Arthroplasty
Volume	30
Issue number	5
DOIs	https://doi.org/10.1016/j.arth.2014.12.004
State	Published - 1 May 2015

Bibliographical note

Publisher Copyright:
© 2014 Elsevier Inc.

Keywords

American society of anesthesiologist classification
Postoperative complication
Same-day bilateral total knee arthroplasty
Staged bilateral total knee arthroplasty
Unilateral total knee arthroplasty

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10.1016/j.arth.2014.12.004

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title = "The Patient's Age and American Society of Anesthesiologists Status Are Reasonable Criteria for Deciding Whether to Perform Same-Day Bilateral TKA",

abstract = "We investigated whether basing a decision to perform same-day bilateral TKA (SD BTKA) on the patient's age and American Society of Anesthesiologists (ASA) status was reasonable. We retrospectively reviewed the records of 1386 patients who underwent 2086 TKAs (686 unilateral TKAs [UTKAs], 1038 SD BTKAs, and 362 one-week staged BTKAs). For the entire cohort, patients undergoing SD BTKA had a higher risk of major complications compared to those undergoing UTKA. However, there was no difference in the incidence of complications for patients aged. <. 75. years with an ASA status of 1 or 2 who underwent UTKA or SD BTKA. If patients are selected based on age and ASA status, SD BTKA may have a risk of postoperative complication similar to UTKA.",

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AU - Kim, Geon Hyeong

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AU - Park, Se Wook

AU - Park, Tae Yong

AU - In, Yong

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KW - Staged bilateral total knee arthroplasty

KW - Unilateral total knee arthroplasty

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The Patient's Age and American Society of Anesthesiologists Status Are Reasonable Criteria for Deciding Whether to Perform Same-Day Bilateral TKA

Abstract

Bibliographical note

Keywords

Access to Document

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