Ninety-day mortality in patients undergoing elective total hip or total knee arthroplasty.

The Journal of Arthroplasty
Jasvinder A Singh, David G Lewallen

Abstract

Using an institutional joint registry, we studied frequency, trends and predictors of mortality after elective total hip or knee arthroplasty (THA/TKA). Of the 12 727 and 12 484 patients who underwent THA and TKA, respectively, all-cause mortality rates at 7-, 30-, and 90-days were as follows: THA, 0.1%, 0.2%, and 0.5%; TKA 0.1%. 0.2%, and 0.4%, respectively. Statistically significant downward time trend in 90-day mortality was noted after TKA (P = .02) but not after THA (P = .41). In multivariable-adjusted analyses of patients undergoing THA, older age, higher comorbidity index, and prior cardiac disease were significantly associated with higher 90-day mortality. In patients undergoing TKA, older age, male gender, a Society of Anesthesiologist class of III-IV, and higher comorbidity index were associated with higher 90-day all-cause mortality. Optimization of disease management may reduce postoperative mortality after THA/TKA.

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Citations

Sep 3, 2013·Archives of Orthopaedic and Trauma Surgery·Andrew J SchoenfeldPhilip J Belmont
Oct 1, 2013·Lancet·Linda P HuntUNKNOWN National Joint Registry for England, Wales and Northern Ireland
Jan 10, 2014·Annals of Surgery·Oliver P Keown, Ara Darzi
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Aug 14, 2013·The Journal of Arthroplasty·Ho-Rim ChoiHany Bedair
May 21, 2013·The Journal of Arthroplasty·Geon-Hyeong KimYong In
Jan 13, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alejandro Lizaur-UtrillaFernando A Lopez-Prats
May 15, 2015·The Journal of Arthroplasty·Hilal Maradit KremersDavid G Lewallen
Sep 14, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Gong LongWang Zhenhu
Oct 26, 2016·The Journal of Arthroplasty·Hongyi ShaoAntonia F Chen
Jan 26, 2017·Clinical Orthopaedics and Related Research·James Robert Berstock, Michael Whitehouse
Jun 20, 2018·The Journal of Bone and Joint Surgery. American Volume·James R BerstockAshley W Blom
Feb 6, 2017·Acta Anaesthesiologica Scandinavica·C C JørgensenUNKNOWN Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative group
Jun 19, 2019·Journal of Orthopaedic Surgery and Research·Yuzhi ZuoXisheng Weng
Apr 25, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Michael DietrichClaudio Dora
Oct 7, 2020·Journal of Orthopaedic Surgery·Ong-Art PhruetthiphatJohn J Callaghan
Nov 18, 2020·Knee Surgery & Related Research·Seung Hoon LeeYong Seuk Lee
Feb 10, 2021·The Journal of Arthroplasty·Mitzi S LaughlinAnay R Patel
Jun 5, 2014·Bone & Joint Research·J R BerstockA W Blom
Jun 13, 2021·The Journal of Arthroplasty·Kara M McConaghyNicolas S Piuzzi
Nov 3, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Julia MatthiasJoseph M Lane

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