Patients With Previous COVID-19 Infection Can Safely Undergo Primary Total Joint Arthroplasty

Rosas, Samuel; Pollock, David C.; Najafi, Farideh; Hollingsworth, Neusha; Buller, Leonard T.; Krueger, Chad A.

doi:10.1016/j.arth.2022.10.041

Cited by 12 publications

(8 citation statements)

References 16 publications

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“…The risk of increased LOS and pneumonia was replicated in a similarly matched group of patients who had a COVID-19 infection within 3 months of surgery. However, the authors of this study concluded that patients otherwise had no difference in 90-day outcomes and could safely undergo surgery 34 .…”

Section: Medical Implications Of Covid-19–infected Patients Undergoin...mentioning

confidence: 77%

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The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Sniderman,

Abdeen

2023

JBJS Reviews

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» The COVID-19 global pandemic resulted in unprecedented disruptions in care including massive surgical cancelations, a shift to outpatient surgery, and novel medical risks posed by COVID-19 infection on patients undergoing joint replacement surgery.» Refined patient optimization pathways have facilitated safe, efficient outpatient total joint arthroplasty in patient populations that may not otherwise have been considered eligible.» Rapid innovations emerged to deliver care while minimizing the risk of disease transmission which included the widespread adoption of telemedicine and virtual patient engagement platforms.» The widespread adoption of virtual technology was similarly expanded to resident education and continuing medical activities, which has improved our ability to propagate knowledge and increase access to educational initiatives.» Novel challenges borne of the pandemic include profound personnel shortages and supply chain disruptions that continue to plague efficiencies and quality of care in arthroplasty and require creative, sustainable solutions.

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Section: Medical Implications Of Covid-19–infected Patients Undergoin...mentioning

confidence: 77%

“…There is evidence that those who have recovered from COVID-19 infections can safely undergo TJA in the future 33-35 . However, the optimal interval between COVID-19 infection and elective TJA remains a matter of debate.…”

Section: Medical Implications Of Covid-19–infected Patients Undergoin...mentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Sniderman,

Abdeen

2023

JBJS Reviews

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“…also examined postoperative complications in the same cohort of patients and found increased rates of pneumonia in both primary THA and primary TKA groups. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Higher Complication Rate in COVID-19 Recovered Patients Undergoing Primary Total Joint Arthroplasty

Lee¹,

Durst²,

Rezzadeh³

et al. 2023

The Journal of Arthroplasty

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“…While there appears to be consensus on increased risk of perioperative complications in trauma surgery in COVID-19-positive patients, 16 , 27 , 44 , 45 our results with regard to joint arthroplasty are in contrast to some recent reports arguing COVID-19 positivity does not significantly increase risk of respiratory, infectious, cardiac, and thromboembolic complications. 46 , 47 These differences may again be explained by the quality and size of studied databases and retrospective nature of analyses.…”

Section: Discussionmentioning

confidence: 99%

The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

Mercier,

Koucheki,

Lex

et al. 2023

Bone Jt Open

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AimsThis study aimed to investigate the risk of postoperative complications in COVID-19-positive patients undergoing common orthopaedic procedures.MethodsUsing the National Surgical Quality Improvement Programme (NSQIP) database, patients who underwent common orthopaedic surgery procedures from 1 January to 31 December 2021 were extracted. Patient preoperative COVID-19 status, demographics, comorbidities, type of surgery, and postoperative complications were analyzed. Propensity score matching was conducted between COVID-19-positive and -negative patients. Multivariable regression was then performed to identify both patient and provider risk factors independently associated with the occurrence of 30-day postoperative adverse events.ResultsOf 194,121 included patients, 740 (0.38%) were identified to be COVID-19-positive. Comparison of comorbidities demonstrated that COVID-19-positive patients had higher rates of diabetes, heart failure, and pulmonary disease. After propensity matching and controlling for all preoperative variables, multivariable analysis found that COVID-19-positive patients were at increased risk of several postoperative complications, including: any adverse event, major adverse event, minor adverse event, death, venous thromboembolism, and pneumonia. COVID-19-positive patients undergoing hip/knee arthroplasty and trauma surgery were at increased risk of 30-day adverse events.ConclusionCOVID-19-positive patients undergoing orthopaedic surgery had increased odds of many 30-day postoperative complications, with hip/knee arthroplasty and trauma surgery being the most high-risk procedures. These data reinforce prior literature demonstrating increased risk of venous thromboembolic events in the acute postoperative period. Clinicians caring for patients undergoing orthopaedic procedures should be mindful of these increased risks, and attempt to improve patient care during the ongoing global pandemic.Cite this article: Bone Jt Open 2023;4(9):704–712.

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Patients With Previous COVID-19 Infection Can Safely Undergo Primary Total Joint Arthroplasty

Cited by 12 publications

References 16 publications

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Higher Complication Rate in COVID-19 Recovered Patients Undergoing Primary Total Joint Arthroplasty

The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

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