File Download
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.12809/hkmj208942
- Scopus: eid_2-s2.0-85118807762
- PMID: 34706985
- WOS: WOS:000711858500006
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Total knee arthroplasty is safe for patients aged ≥80 years in hong kong
Title | Total knee arthroplasty is safe for patients aged ≥80 years in hong kong 香港80歲或以上患者進行全膝關節置換術是安全的 |
---|---|
Authors | |
Issue Date | 2021 |
Citation | Hong Kong Medical Journal, 2021, v. 27, n. 5, p. 350-354 How to Cite? |
Abstract | Introduction: Total knee arthroplasty (TKA) is an efficacious operation that improves pain and function in patients with knee arthritis. Because of the population ageing trend in Hong Kong, there is a need to determine the safety profile of TKA in older patients. This study examined the age of patients who underwent TKA in the past 10 years in Hong Kong; the aim was to investigate the mortality safety profile and clinical outcomes of TKA in patients aged ≥80 years. Methods: This study included all patients who underwent primary TKA in the Hospital Authority (HA) from 2010 to 2019. Incidences of 30-day, 90-day, and 1-year mortality were established. Clinical outcomes of patients aged ≥80 years in one cluster of HA hospitals were assessed. Results: Between 2010 and 2019, 25 040 TKA procedures were conducted in all HA hospitals; 2491 were conducted in patients aged ≥80 years. The median age at operation was higher during 2015-2019 than during 2010-2014 (70 vs 69 years; P<0.001); furthermore, an increase was observed in the proportion of patients aged ≥80 years at the time of operation. Incidences of 30-day, 90-day, and 1-year mortality were 0.156%, 0.35%, and 1.09%, respectively. Conclusions: In this first study to examine the safety profile of TKA in older patients in Hong Kong, the mean age at the time of TKA and proportion of patients aged ≥80 years have steadily risen in the past decade. Even in older patients, TKA is a reasonably safe procedure. 引言:全膝關節置換術(TKR)能有效改善膝關節炎患者的疼痛和功能。隨着香港人口老化,有必要確定TKR在老年患者中的安全性。本研究旨在檢視過去10 年香港不同年齡組別的患者進行TKR的趨勢,並確定80歲或以上患者進行TKR的安全性,包括死亡率以及臨床結果。 方法:包括2010年至2019年期間在醫院管理局(醫管局)接受初次TKR的所有患者,檢視TKR後30天、90天和1年死亡率,並評估醫管局其中一個聯網中80歲或以上患者的臨床結果。 結果:2010年至2019年期間,所有醫管局醫院進行25 040例TKR,其中80歲或以上患者佔2491例。與2010年至2014年的數據相比,2015年至2019年期間接受TKA的患者年齡中位數較高(70歲比69歲;P<0.001)。在這10年期間,80歲或以上患者接受TKA的比例亦有上升趨勢。術後30天、90天和一年內死亡率分別為0.156%、0.35%和1.09%。 結論:這是香港首個有關老年人進行TKR的安全性研究。在過去十 年,80歲或以上患者進行TKR的平均年齡有上升趨勢。研究表明TKR 即使對老年患者也是一種相當安全的手術。 |
Persistent Identifier | http://hdl.handle.net/10722/309453 |
ISSN | 2023 Impact Factor: 3.1 2023 SCImago Journal Rankings: 0.261 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Cheung, Amy | - |
dc.contributor.author | Chan, P. K. | - |
dc.contributor.author | Fu, Henry | - |
dc.contributor.author | Cheung, M. H. | - |
dc.contributor.author | Chan, Vincent W.K. | - |
dc.contributor.author | Yan, C. H. | - |
dc.contributor.author | Chiu, K. Y. | - |
dc.date.accessioned | 2021-12-29T07:02:28Z | - |
dc.date.available | 2021-12-29T07:02:28Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | Hong Kong Medical Journal, 2021, v. 27, n. 5, p. 350-354 | - |
dc.identifier.issn | 1024-2708 | - |
dc.identifier.uri | http://hdl.handle.net/10722/309453 | - |
dc.description.abstract | Introduction: Total knee arthroplasty (TKA) is an efficacious operation that improves pain and function in patients with knee arthritis. Because of the population ageing trend in Hong Kong, there is a need to determine the safety profile of TKA in older patients. This study examined the age of patients who underwent TKA in the past 10 years in Hong Kong; the aim was to investigate the mortality safety profile and clinical outcomes of TKA in patients aged ≥80 years. Methods: This study included all patients who underwent primary TKA in the Hospital Authority (HA) from 2010 to 2019. Incidences of 30-day, 90-day, and 1-year mortality were established. Clinical outcomes of patients aged ≥80 years in one cluster of HA hospitals were assessed. Results: Between 2010 and 2019, 25 040 TKA procedures were conducted in all HA hospitals; 2491 were conducted in patients aged ≥80 years. The median age at operation was higher during 2015-2019 than during 2010-2014 (70 vs 69 years; P<0.001); furthermore, an increase was observed in the proportion of patients aged ≥80 years at the time of operation. Incidences of 30-day, 90-day, and 1-year mortality were 0.156%, 0.35%, and 1.09%, respectively. Conclusions: In this first study to examine the safety profile of TKA in older patients in Hong Kong, the mean age at the time of TKA and proportion of patients aged ≥80 years have steadily risen in the past decade. Even in older patients, TKA is a reasonably safe procedure. | - |
dc.description.abstract | 引言:全膝關節置換術(TKR)能有效改善膝關節炎患者的疼痛和功能。隨着香港人口老化,有必要確定TKR在老年患者中的安全性。本研究旨在檢視過去10 年香港不同年齡組別的患者進行TKR的趨勢,並確定80歲或以上患者進行TKR的安全性,包括死亡率以及臨床結果。 方法:包括2010年至2019年期間在醫院管理局(醫管局)接受初次TKR的所有患者,檢視TKR後30天、90天和1年死亡率,並評估醫管局其中一個聯網中80歲或以上患者的臨床結果。 結果:2010年至2019年期間,所有醫管局醫院進行25 040例TKR,其中80歲或以上患者佔2491例。與2010年至2014年的數據相比,2015年至2019年期間接受TKA的患者年齡中位數較高(70歲比69歲;P<0.001)。在這10年期間,80歲或以上患者接受TKA的比例亦有上升趨勢。術後30天、90天和一年內死亡率分別為0.156%、0.35%和1.09%。 結論:這是香港首個有關老年人進行TKR的安全性研究。在過去十 年,80歲或以上患者進行TKR的平均年齡有上升趨勢。研究表明TKR 即使對老年患者也是一種相當安全的手術。 | - |
dc.language | eng | - |
dc.relation.ispartof | Hong Kong Medical Journal | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Total knee arthroplasty is safe for patients aged ≥80 years in hong kong | - |
dc.title | 香港80歲或以上患者進行全膝關節置換術是安全的 | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.12809/hkmj208942 | - |
dc.identifier.pmid | 34706985 | - |
dc.identifier.scopus | eid_2-s2.0-85118807762 | - |
dc.identifier.volume | 27 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 350 | - |
dc.identifier.epage | 354 | - |
dc.identifier.isi | WOS:000711858500006 | - |