Heart failure patients demonstrate excellent 1-year outcomes after total knee arthroplasty despite high healthcare utilization.

ABSTRACT:

Purpose

Many heart failure (HF) patients undergo total knee arthroplasty (TKA), but their postoperative outcomes remain unclear. This study aimed to compare healthcare resource utilization and patient-reported outcome measures (PROMs) after TKA between patients with and without HF.

Methods

A retrospective analysis of 12,491 TKA at our institution from 2016 to 2021, including 495 with HF. HF patients were stratified into three ejection fraction (EF) categories: preserved (≥ 50%, n = 374), mildly reduced (41-49%, n = 53), and reduced (≤ 40%, n = 68). Healthcare utilization metrics and 1-year mortality were compared. PROMs were assessed using the Knee Injury and Osteoarthritis Outcome Score for Pain (KOOS-Pain), Physical Function Shortform (KOOS-PS), and Joint Replacement (KOOS

SUBMITTER: Huffman N 

PROVIDER: S-EPMC12511152 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature