Perioperative predictability of unsatisfactory functional outcomes 6 months after hip arthroplasty.

Jakuscheit, Axel; Weth, Johannes; Lichtner, Gregor; Horas, Konstantin; Rehberg-Klug, Benno; von Dincklage, Falk · J Orthop · 2021

prospective_cohort · Level II

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Abstract

Aiming at an early identification of patients with an unsatisfactory outcome after hip arthroplasty we investigated the pre-, intra- and early postoperative predictability. Using logistic regression models at nine different time points we calculated the area under the curve of the receiver operating characteristic (ROC-AUC) to compare the predictability of an unsatisfactory outcome. The predictability of unsatisfactory outcomes increased significantly from a ROC-AUC (95% CI) of 0.73 (0.62-0.84) in the preoperative setting to 0.85 (0.77-0.94) on day 2 after surgery. Most of the patients with unsatisfactory outcomes can be identified during the first days after surgery.

Anatomy