PMID: 32692098Jul 22, 2020Paper

Patients With a History of a Cardiac Implantable Electronic Device Have a Higher Likelihood of 90-Day Cardiac Events After Total Joint Arthroplasty: A Matched Cohort Study

The Journal of the American Academy of Orthopaedic Surgeons
Heather A PrenticeElizabeth W Paxton

Abstract

We sought to identify the incidence of new 90-day cardiac events, 90-day mortality, 90-day unplanned readmissions, and 30-day emergency department (ED) visits after total joint arthroplasty (TJA) in patients with a history of a cardiac implantable electronic device (CIED) and compare these outcomes in TJA patients without a CIED. Kaiser Permanente's Cardiac Device and Total Joint Replacement Registries were used to identify elective primary TJA performed for osteoarthritis. TJA with a CIED was matched with TJA without a CIED (n = 365 pairs) on patient characteristics, demographics, and procedure type. A McNemar test was used to evaluate categorical outcomes. Of the TJA with a CIED, there were 24 cardiac events (6.6%), 1 mortality (0.3%), 30 readmissions (8.2%), and 39 ED visits (10.7%). TJA patients with a CIED had a higher likelihood of cardiac events (odds ratio [OR] = 3.14, 95% confidence interval [CI] = 1.28 to 8.08). No difference was observed in mortality (OR = 0.50, 95% CI = 0.02 to 6.98), readmissions (OR = 1.26, 95% CI = 0.71 to 2.25), or ED visits (OR = 1.15, 95% CI = 0.71 to 1.88). In our matched cohort study, TJA patients with a history of a CIED had a higher likelihood of incident 90-day cardiac events when compare...Continue Reading

References

May 22, 2002·JAMA : the Journal of the American Medical Association·Andrew J KarterJoe V Selby
Oct 7, 2004·Journal of the American College of Cardiology·Adrian F HernandezJames G Jollis
Nov 2, 2006·JAMA : the Journal of the American Medical Association·Alan S GoJerry H Gurwitz
Feb 15, 2008·European Journal of Anaesthesiology·S Pili-FlouryJ Marty
Mar 26, 2008·Anesthesiology·Bradley G HammillAdrian F Hernandez
Jun 26, 2008·Arthritis and Rheumatism·Frederick C BasilicoJeffrey N Katz
Sep 9, 2008·The Journal of Arthroplasty·Luis PulidoWilliam J Hozack
Jul 24, 2010·Clinical Orthopaedics and Related Research·Elizabeth W PaxtonRobert S Namba
Oct 25, 2011·Annals of the Rheumatic Diseases·Jasvinder A SinghDavid G Lewallen
Jan 25, 2012·Pharmacoepidemiology and Drug Safety·Jane S SaczynskiJerry H Gurwitz
Jan 25, 2012·Pharmacoepidemiology and Drug Safety·Paul N JensenSascha Dublin
Jan 25, 2012·Pharmacoepidemiology and Drug Safety·Leonardo TamarizVinit Nair
Jun 30, 2012·Pharmacoepidemiology and Drug Safety·Sarah L CutronaJerry H Gurwitz
Sep 25, 2012·Journal of the American College of Cardiology·Arnold J GreensponSteven M Kurtz
Sep 6, 2013·The Journal of Bone and Joint Surgery. American Volume·Vinay K AggarwalAlvin Ong
Aug 31, 2014·International Orthopaedics·Mariano E MenendezAlejandro Gonzalez Della Valle
Dec 19, 2014·The Journal of Bone and Joint Surgery. American Volume·Philip J BelmontAndrew J Schoenfeld
Aug 15, 2015·Journal of the American Statistical Association·Samuel D PimentelPaul R Rosenbaum
Sep 4, 2015·The Journal of Bone and Joint Surgery. American Volume·Hilal Maradit KremersDaniel J Berry
Nov 15, 2015·Clinical Orthopaedics and Related Research·Atul KumarMing-Chou Ku
Oct 21, 2016·Acta Orthopaedica·Marianne H GillamStephen E Graves
Aug 29, 2017·The Journal of Arthroplasty·Gannon L CurtisCarlos A Higuera

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