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Table 3 Cumulative incidence of revision at 1 and 5 years’ follow-up and effect of comorbidities from the Elixhauser index on the risk of revision in Total Knee Arthroplasty (TKA)

From: Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty

 

1 year follow-up

5 years’ follow-up

np

nr

incidence (95% CI)

SHR (95%CI)

p value

np

nr

incidence (95% CI)

SHR (95% CI)

p value

Burden of comorbidity

    

0.008

    

0.403

 0 comorbidities

13,139

107

0.77 (0.63–0.92)

1.00

 

7532

333

3.74 (3.40–4.10)

1.00

 

 1 comorbidity

15,838

142

0.84 (0.71–0.99)

1.18 (0.93–1.53)

 

8533

355

3.48 (3.18–3.79)

1.04 (0.92–1.19)

 

 > =2 comorbidities

15,465

164

0.97 (0.83–1.13)

1.39 (1.09–1.78)

 

7505

321

3.47 (3.17–3.79)

1.06 (0.93–1.20)

 

Uncomplicated hypertension

24,118

228

0.88 (0.77–1.00)

1.13 (0.93–1.37)

0.214

12,479

511

3.38 (3.14–3.63)

1.03 (0.93–1.15)

0.549

Uncomplicated diabetes

7005

60

0.79 (0.61–1.01)

0.92 (0.70–1.21)

0.541

3556

139

3.17 (2.74–3.62)

0.91 (0.78–1.06)

0.216

Obesity

4649

66

1.29 (1.00–1.63)

1.53 (1.17–1.99)

0.002

2329

94

3.78 (3.22–4.40)

0.97 (0.82–1.14)

0.711

Depression

4171

39

0.87 (0.63–1.17)

1.08 (0.77–1.51)

0.651

1929

101

3.93 (3.30–4.61)

1.06 (0.89–1.27)

0.484

Chronic pulmonary disease

3624

32

0.82 (0.57–1.14)

0.95 (0.66–1.36)

0.783

1795

76

3.25 (2.68–3.90)

1.01 (0.83–1.23)

0.933

Hypothyroidism

2524

24

0.85 (0.56–1.24)

1.12 (0.73–1.71)

0.603

1152

58

3.78 (3.02–4.67)

1.04 (0.83–1.30)

0.724

Deficiency anemia

990

17

1.58 (0.96–4.46)

1.92 (1.18–3.11)

0.008

457

15

3.34 (2.32–4.65)

1.09 (0.77–1.56)

0.615

Renal failure

775

9

1.02 (0.51–1.88)

1.25 (0.64–2.42)

0.515

262

9

2.40 (1.46–3.72)

0.98 (0.61–1.57)

0.938

Hypertension with complications

758

9

1.03 (0.511.89)

1.35 (0.70–2.61)

0.376

256

8

2.38 (1.41–3.75)

0.94 (0.58–1.53)

0.815

Valvular disease

745

10

1.19 (0.61–2.11)

1.61 (0.85–3.03)

0.144

365

9

2.66 (1.64–4.07)

0.94 (0.60–1.49)

0.803

Rheumatoid arthritis

572

8

1.27 (0.60–2.39)

1.37 (0.68–2.78)

0.379

235

10

3.65 (2.20–5.65)

0.90 (0.57–1.44)

0.673

Other neurological disorders

625

7

1.04 (0.47–2.06)

1.23 (0.58–2.59)

0.590

313

12

3.19 (1.98–4.85)

1.01 (0.64–1.60)

0.951

Liver disease

563

15

2.29 (1.34–3.66)

2.50 (1.49–4.20)

0.001

257

16

5.51 (3.81–7.66)

1.60 (1.11–2.29)

0.011

Congestive heart failure

432

3

0.66 (0.18–1.80)

0.88 (0.28–2.74)

0.882

226

5

2.00 (0.94–3.78)

0.70 (0.35–1.39)

0.306

Peripheral vascular disorders

338

4

1.11 (0.37–2.67)

1.35 (0.51–3.62)

0.545

198

7

3.62 (1.90–6.21)

1.16 (0.64–2.09)

0.626

Solid tumor

204

1

0.49 (0.05–2.50)

0.53 (0.08–3.79)

0.530

87

1

1.20 (0.23–3.97)

0.38 (0.10–1.57)

0.187

Diabetes with complications

191

2

0.97 (0.19–3.20)

1.08 (0.27–4.34)

0.911

78

8

5.71 (2.91–9.86)

1.82 (0.98–3.38)

0.057

Coagulopathy

190

2

0.93 (0.19–3.06)

1.10 (0.27–4.42)

0.896

85

1

1.46 (0.40–3.92)

0.53 (0.17–1.67)

0.280

Blood loss anemia

201

2

0.93 (0.19–3.07)

0.75 (0.19–3.12)

0.709

96

10

6.56 (3.56–10.80)

1.54 (0.87–2.77)

0.141

Fluid and electrolyte disorders

184

1

0.50 (0.05–2.58)

0.57 (0.08–4.12)

0.575

62

4

2.73 (1.03–5.89)

0.91 (0.37–2.18)

0.841

Alcohol abuse

171

2

1.07 (0.21–3.52)

0.85 (0.21–3.48)

0.827

76

4

3.79 (1.54–7.69)

0.91 (0.37–2.23)

0.841

Psychosis

155

0

NR

NC

NC

54

3

2.49 (0.67–6.58)

0.60 (0.19–1.86)

0.378

Paralysis

79

2

2.36 (0.45–7.42)

2.67 (0.76–10.78)

0.169

31

5

11.79 (4.98–21.78)

3.14 (1.49–6.60)

0.003

Pulmonary circulation disorders

58

1

1.41 (0.12–6.72)

1.87 (0.26–13.46)

0.533

27

1

3.09 (0.58–9.58)

1.05 (0.25–4.30)

0.951

Lymphoma

31

0

NR

NC

NC

12

1

3.49 (0.26–15.09)

1.16 (0.17–8.10)

0.881

Peptic ulcer disease

28

1

3.57 (0.26–15.41)

3.25 (0.45–23.51)

0.243

16

0

NR

NC

NC

Drug abuse

10

0

NR

NC

NC

3

0

NR

NC

NC

Metastatic cancer

9

0

NR

NC

NC

3

0

NR

NC

NC

Weight loss

8

0

NR

NC

NC

6

1

11.11 (0.6–38.77)

3.32 (0.46–23.81)

0.232

AIDS

4

0

NR

NC

NC

1

0

NR

NC

NC

  1. np number of primary procedures at 1 and 5 years’ follow-up, nr number of revision procedures since the primary operation (from the beginning to 1 year and from 1 year to 5 years, at follow-up), SHR Subhazard ratio from competing risks models adjusted for sex, age, year of intervention, fixation type and type of hospital, NR no revisions undergone from 1 to 5 years’ follow-up, NC Not calculable
  2. Incidence (95%CI): cumulative incidence of revision considering patient death as a competing event and the 95% Confidence Interval
  3. Variance inflation tests < 4 for all models