Association Between Preoperative Anemia and the Risk of Revision After Total Knee Arthroplasty: A Multi-Institutional Retrospective Study.

Association Between Preoperative Anemia and the Risk of Revision After Total Knee Arthroplasty: A Multi-Institutional Retrospective Study.

Publication date: Jan 01, 2026

This study investigated the association between preoperative anemia and total knee arthroplasty (TKA) revision risk at a 3-year follow-up. We conducted a multi-institutional retrospective cohort study of patients aged ≥b50 years who underwent primary TKA between 2010 and 2019 using a federated health research network database. Patients were categorized as anemic (hemoglobin eight to 12 g/dL) or nonanemic (≥ 12 g/dL), regardless of sex, and matched 1:1 using propensity scores. The primary outcome was TKA revision within 3 years; the secondary outcomes included periprosthetic joint infection (PJI), mortality, pneumonia, venous thromboembolism, and emergency department visit. After matching (n = 6,477 per group), anemic patients had significantly higher risks of TKA revision (hazard ratio [HR]: 1. 65, P

Concepts Keywords
Academic Aged
Pneumonia Aged, 80 and over
Thromboembolism Anemia
Women anemia
Arthroplasty, Replacement, Knee
Female
Humans
Male
Middle Aged
perioperative risk
Postoperative Complications
Preoperative Period
prosthetic joint infection
Reoperation
Retrospective Studies
revision surgery
Risk Factors
sex differences
total knee arthroplasty

Semantics

Type Source Name
disease MESH Anemia
disease MESH included
disease MESH infection
disease MESH PJI
disease MESH pneumonia
disease MESH venous thromboembolism
disease MESH emergency
disease MESH COVID-19 pandemic
disease MESH Postoperative Complications

Original Article

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