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Racial disparities in peri-operative complications following primary total hip arthroplasty
Mitchell A Johnson1, Matthew Sloan1, Viviana Serra Lopez1
1Division of Orthopaedic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.
Background:
This study assesses if post-operative outcomes following THA vary by racial groups.
Methods:
A review of the ACS-NSQIP database was performed to compare THA patient outcomes from 2008 to 2016 according to race.
Results:
During the study period, 117,389 THA patients were identified. Blacks were at significantly increased risk of peri-operative complications in comparison to non-Hispanic Whites, including serious medical morbidity (+27%), and prolonged length of stay (+53%).
Conclusions:
Despite multivariate control and propensity-matched analysis of important risk factors, race independently predicts longer operative times and higher rates of discharge to non-home facilities.
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