Hypertensive Patients Show Delayed Wound Healing following Total Hip Arthroplasty
2011

Hypertension and Wound Healing After Hip Surgery

Sample size: 120 publication Evidence: moderate

Author Information

Author(s): Ahmed Awad A., Mooar Pekka A., Kleiner Matthew, Torg Joseph S., Miyamoto Curtis T.

Primary Institution: Temple University Hospital

Hypothesis

Does hypertension prolong the duration of wound healing in patients undergoing total hip arthroplasty?

Conclusion

Hypertensive patients had a higher risk of prolonged wound discharge after total hip arthroplasty than their normotensive counterparts.

Supporting Evidence

  • Hypertensive patients required more days for their wounds to dry than normotensive patients.
  • The average number of days until the wound was dry was 3.79 for hypertensive patients and 2.03 for normotensive patients.
  • No significant difference in the duration of hospital stay was found between the two groups.

Takeaway

Patients with high blood pressure take longer for their wounds to heal after hip surgery compared to those with normal blood pressure.

Methodology

The study compared 29 hypertensive and 29 normotensive patients who underwent total hip arthroplasty, evaluating the time until wounds were dry and hospital stay duration.

Potential Biases

Potential bias due to the non-randomized nature of the study and reliance on existing clinical data.

Limitations

Blood pressure was defined based on clinical history and pre-operative measurements, which may not be as reliable as averaging past values.

Participant Demographics

29 hypertensive and 91 normotensive patients, with adjustments made for BMI and diabetes.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023224

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