New Chronic Obstructive Pulmonary Disease Findings Reported from National Yunlin University of Science and Technology (Complications after total knee…

New Chronic Obstructive Pulmonary Disease Findings Reported from National Yunlin University of Science and Technology (Complications after total knee replacement in patients with chronic obstructive pulmonary disease: A nationwide case-control ...)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Current study results on Lung Diseases and Conditions - Chronic Obstructive Pulmonary Disease have been published. According to news reporting originating from Yunlin, Taiwan, by VerticalNews correspondents, research stated, "The incidence and prevalence of chronic obstructive pulmonary disease (COPD) is associated with increasing age. Osteoarthritis is also a growing problem in the aging population, and total knee replacement (TKR) is a common surgical procedure for this population."

Our news editors obtained a quote from the research from the National Yunlin University of Science and Technology, "An increasing number of COPD patients are receiving TKR, but few studies have examined the complications and outcomes after TKR in COPD patients. The purpose of this study was to investigate the complications, including mortality, wound infections, hospitalization readmission, pneumonia (PN), and cerebrovascular accidents (CVAs) in patients with COPD after receiving TKR.The National Health Insurance operated by the government is a nationwide health care program with universal coverage in Taiwan. It covers approximately 99% of the total Taiwanese population of 23 million people. In this case-control study, we analyzed the longitudinally linked National Health Insurance Research Database, which consists of a cohort of 1,000,000 randomly selected enrollees retrospectively followed from 1996 to 2010. This study analyzed patients who underwent TKR surgery between January 1, 2004 and December 31, 2009 by identifying the International Classification of Diseases, Ninth Revision, Clinical Modification code. We separated patients into COPD and non-COPD groups. Five study outcomes and complications were measured after TKR, including mortality for 1 and 3 years, wound infections for 1 and 2 years, hospitalization readmission for 30 and 90 days, PN for 30 and 90 days, and CVAs.A total of 3431 patients who underwent TKR surgery were identified, including 358 patients with COPD and 3073 patients without COPD. The COPD group had a higher percentage of 90-day PN (3.7% vs. 1.1%), 30-day readmission (7.0% vs. 4.0%), 30-day CVA (1.7% vs. 0.6%), 90-day CVA (3.9% vs. 2.1%), and 3-year mortality (3.9% vs. 2.1%) than the non-COPD group."

According to the news editors, the research concluded: "COPD was associated with 90-day PN (adjusted hazard ratio[HR)]=2.12, P=0.030) after adjusting for sex, cardiovascular disease, and CVA occurrence.Patients with COPD had a higher risk of PN after TKR than patients without COPD, but no significant differences were found for CVAs and mortality."

For more information on this research see: Complications after total knee replacement in patients with chronic obstructive pulmonary disease: A nationwide case-control study. Medicine, 2016;95(37):259-264. Medicine can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Elsevier - www.elsevier.com; Medicine - www.journals.elsevier.com/medicine/)

The news editors report that additional information may be obtained by contacting Yunlin Univ Sci & Technol, Dept. of Ind Engn & Management, Yunlin 640, Taiwan.

Keywords for this news article include: Yunlin, Taiwan, Asia, Chronic Obstructive Pulmonary Disease, Lung Diseases and Conditions, Biomedical Engineering, Insurance Companies, Health Insurance, Knee Replacement, Medical Devices, Bioengineering, Biotechnology, Biomedicine, Surgery, National Yunlin University of Science and Technology.

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