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Table 1 Comparison of patient demographics in 2019 versus 2020 for elective THA

From: The combined effect of policy changes and the covid-19 pandemic on the same day discharge and complications following total hip arthroplasty: a nationwide analysis

 

2019

2020

P Value

# Number of Patients

%

# Number of Patients

%

Number of Patients

 

43,667

 

34,130

  

Age Cohorts

 < 40

869

2.00%

695

2.00%

0.122

40–44

774

1.80%

611

1.80%

 

45–49

1558

3.60%

1141

3.30%

 

50–54

2969

6.80%

2376

7.00%

 

55–59

5374

12.30%

4212

12.30%

 

60–64

7391

16.90%

5756

16.90%

 

65–69

7969

18.20%

6489

19.00%

 

70–74

7440

17.00%

5797

17.00%

 

75–79

4987

11.40%

3794

11.10%

 

80–84

2817

6.50%

2081

6.10%

 

85 + 

1519

3.50%

1178

3.50%

 

Gender

female

23,742

54.40%

18,368

53.80%

0.299

male

19,925

45.60%

15,762

46.20%

 

Race

American Indian or Alaska Native

163

0.40%

152

0.40%

 < 0.001

Asian

594

1.40%

709

2.10%

 

Black or African American

3636

8.30%

3013

8.80%

 

Native Hawaiian or Pacific Islander

74

0.20%

75

0.20%

 

Some Other Race

0

0.00%

32

0.10%

 

Unknown/Not Reported

10,442

23.90%

7339

21.50%

 

White

28,758

65.90%

22,810

66.80%

 

BMI Category

 < 18.5

331

0.80%

290

0.90%

0.241

18.5–24.9

7648

17.60%

6129

18.10%

 

25.0–29.9

14,465

33.30%

11,092

32.80%

 

30.0–34.9

11,635

26.80%

9078

26.80%

 

35.0–39.9

6233

14.30%

4871

14.40%

 

40.0 + 

3124

7.20%

2399

7.10%

 

Diabetes mellitus

Insulin Dependent

1282

2.90%

966

2.80%

0.632

No

38,263

87.60%

29,910

87.60%

 

Non-Insulin Dependent

4122

9.40%

3254

9.50%

 

Current smoker

No

38,621

88.40%

30,291

88.80%

0.181

Yes

5046

11.60%

3839

11.20%

 

Dyspnea

At Rest

52

0.10%

37

0.10%

0.007

Moderate Exertion

2001

4.60%

1405

4.10%

 

No

41,614

95.30%

32,688

95.80%

 

Functional health status

Independent

42,755

97.90%

33,431

98.00%

 < 0.001

Partially Dependent

570

1.30%

557

1.60%

 

Totally Dependent

25

0.10%

37

0.10%

 

Unknown

317

0.70%

105

0.30%

 

History of Severe COPD

No

42,026

96.20%

32,923

96.50%

0.103

Yes

1641

3.80%

1207

3.50%

 

Congestive heart failure (CHF)

No

43,483

99.60%

33,986

99.60%

0.991

Yes

184

0.40%

144

0.40%

 

Hypertension

No

19,743

45.20%

15,543

45.50%

0.362

Yes

23,924

54.80%

18,587

54.50%

 

Currently on dialysis (pre-op)

No

43,588

99.80%

34,057

99.80%

0.301

Yes

79

0.20%

73

0.20%

 

Steroid use for chronic condition

No

42,170

96.60%

32,955

96.60%

0.912

Yes

1497

3.40%

1175

3.40%

 

> 10% loss body weight in last 6 months

No

43,583

99.80%

34,053

99.80%

0.311

Yes

84

0.20%

77

0.20%

 

Bleeding disorders

No

42,917

98.30%

33,491

98.10%

0.106

Yes

750

1.70%

639

1.90%

 

mFI

0

18,162

41.60%

14,278

41.80%

0.625

1

19,707

45.10%

15,309

44.90%

 

2

5384

12.30%

4205

12.30%

 

3

386

0.90%

319

0.90%

 

4

25

0.10%

19

0.10%

 

5

3

0.00%

0

0.00%

 

Inpatient/Outpatient

Inpatient

41,162

94.30%

21,977

64.40%

 < 0.001

Outpatient

2505

5.70%

12,153

35.60%

 

ASA classification

1-No Disturbance

1419

3.20%

1004

2.90%

0.012

2-Mild Disturbance

22,179

50.80%

17,310

50.70%

 

3-Severe Disturbance

19,273

44.10%

15,101

44.20%

 

4-Life Threat

759

1.70%

690

2.00%

 f

Principal anesthesia technique

Epidural

266

0.60%

222

0.70%

 < 0.001

General

17,782

40.70%

13,149

38.50%

 

MAC/IV Sedation

8963

20.50%

7962

23.30%

 

Regional

509

1.20%

663

1.90%

 

Spinal

16,111

36.90%

12,109

35.50%

 

Other

36

0.08%

25

0.07%

 

Total operation time (minutes)

 

89.81

 

91.65

 

 < 0.001

Length of hospital stay (days)

 

1.78

 

1.55

 

 < 0.001