Early death following primary total hip arthroplasty: 1,727 procedures with mechanical thrombo-prophylaxis.
Background The aims of this study were to quantify the risk and identify the causes of early postoperative mortality after total hip arthroplasty. This would help clinicians address preventable causes of death and help in accurate counseling and consenting of patients. Methods We determined the deat...
| Publicado en: | Acta Orthopaedica Vol. 77; no. 3; pp. 347 - 351 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Jun2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106288011&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106288011 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Jun2006 vid: 77 iid: 3 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 106288011 2009234323 10.1080/17453670610046244 NLM16819670 106288011 ppf: 347 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Early death following primary total hip arthroplasty: 1,727 procedures with mechanical thrombo-prophylaxis. aug: au: Blom A Pattison G Whitehouse S Taylor A Bannister G affil: Winford Unit, Avon Orthopaedic Centre. Westbury on Trym, Bristol, BS10 5NB. UK. sug: subj: Arthroplasty, Replacement, Hip Mortality Mortality Risk Factors Postoperative Complications Mortality Age Factors Aged Aged, 80 and Over Arthroplasty, Replacement, Hip Adverse Effects Stroke Mortality Consent Standards Descriptive Statistics Female Male Middle Age Myocardial Ischemia Mortality Patient Safety Postoperative Complications Prevention and Control Prospective Studies Pulmonary Embolism Mortality Survival Time Factors Human Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background The aims of this study were to quantify the risk and identify the causes of early postoperative mortality after total hip arthroplasty. This would help clinicians address preventable causes of death and help in accurate counseling and consenting of patients. Methods We determined the death rate at 90 days in an unselected consecutive series of 1,727 primary total hip arthroplasties where patients had not routinely received chemothromboprophylaxis. Results The mortality at 90 days was 17/1,727 (1%). The 90-day mortality was 0.2% in patients under 70 years of age, 1.3% in patients between 70 and 80, and 2.5% in those over 80. 7 patients died from ischemic heart disease, 4 died following cerebrovascular events, and 2 from pulmonary embolism. 4 patients died from non-vascular causes. Of the vascular deaths, ischemic heart disease outnumbered cerebrovascular events which, in turn, outnumbered pulmonary embolism (7 vs. 4 vs. 2). Interpretation Strategies aimed at reducing deaths should address all vascular causes, not just pulmonary embolism. Our findings can be used to inform patients as to the risk of early death after total hip arthroplasty. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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