Cardiac and thromboembolic complications and mortality in patients undergoing total hip and total knee arthroplasty.

ABSTRACT:

Objective

To study 90-day complications following total hip arthroplasty (THA) or total knee arthroplasty (TKA).

Method

In a population-based cohort of all Olmsted County residents who underwent a THA or TKA (1994-2008), we assessed 90-day occurrence and predictors of cardiac complications (myocardial infarction, cardiac arrhythmia or congestive heart failure), thromboembolic complications (deep venous thrombosis or pulmonary embolism) and mortality.

Results

90-day complication rates after THA and TKA were: cardiac, 6.9% and 6.7%; thromboembolic, 4.0% and 4.9%; and mortality, 0.7% and 0.4%, respectively. In multivariable-adjusted logistic regression analyses, ASA class III-IV (OR 6.1, 95% CI:1.6-22.8) and higher Deyo-Charlson comorbidity score (OR 1.2, 95% CI:1.0-1.4)

SUBMITTER: Singh JA 

PROVIDER: S-EPMC3315837 | biostudies-literature | 2011 Dec

REPOSITORIES: biostudies-literature