The Patient's Age and American Society of Anesthesiologists Status Are Reasonable Criteria for Deciding Whether to Perform Same-Day Bilateral TKA.
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.
['Koh|In Jun|IJ|', 'Kim|Geon-Hyeong|GH|', 'Kong|Chae-Gwan|CG|', 'Park|Se-Wook|SW|', 'Park|Tae Yong|TY|', 'In|Yong|Y|']
D000328:Adult D000367:Age Factors D000368:Aged D000369:Aged, 80 and over D000776:Anesthesiology D019645:Arthroplasty, Replacement, Knee D015331:Cohort Studies D003657:Decision Making D005260:Female D006801:Humans D015994:Incidence D008297:Male D008875:Middle Aged D011183:Postoperative Complications D012189:Retrospective Studies D012307:Risk Factors D012720:Severity of Illness Index D012955:Societies, Medical D014481:United States
postoperative complication American Society of Anesthesiologist classification same-day bilateral total knee arthroplasty staged bilateral total knee arthroplasty unilateral total knee arthroplasty