J Knee Surg 2022; 35(01): 026-031
DOI: 10.1055/s-0040-1712086
Original Article

Total Knee Arthroplasty in Patients with Dementia

1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Daniel J. Cunningham
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
William A. Jiranek
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Michael P. Bolognesi
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Thorsten M. Seyler
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
› Author Affiliations
Funding None.

Abstract

There are few studies evaluating total knee arthroplasty (TKA) in patients with dementia. The purpose of this study was to evaluate the rate of revision, complication, emergency department (ED) visitation, and discharge disposition in patients with dementia undergoing primary TKA. In this retrospective study, we evaluated patients from 2007 to 2017 using a national database. Ninety-day complications in patients with dementia undergoing TKA were increased risk of ED visitation and skilled nursing facility (SNF) disposition (p  ≤  0.05). Two-year complications in patients with dementia undergoing TKA were increased risk of ED visitation and SNF disposition (p  ≤  0.05). Patients with dementia undergoing TKA are at an increased risk of resource utilization.



Publication History

Received: 22 January 2020

Accepted: 31 March 2020

Article published online:
27 May 2020

© 2020. Thieme. All rights reserved.

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