Racial disparities in peri-operative complications following primary total hip arthroplasty. 2020

Mitchell A Johnson, and Matthew Sloan, and Viviana Serra Lopez, and Gerald Andah, and Neil Sheth, and Charles Nelson
Division 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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