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35, P .001) and 30-day readmission (OR 1.49, P .001). IDA was also associated with an increased 90-day medical complication rate (cerebrovascular accident OR 1.11, P= .003; urinary tract infection OR 1.14, P .001; acute renal failure OR 1.24, P .001; transfusion OR 1.40, P .001), as well as 1-year periprosthetic joint infection (OR 1.27, P .001), revision (OR 1.22, P .001), dislocation (OR 1.25, P .001), and fracture (OR 1.43, P .001). Patients with IDA accrued higher hospital charges ($27,658