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. 2009 Jan;467(1):213-8.
doi: 10.1007/s11999-008-0528-5. Epub 2008 Oct 10.

Early mortality after modern total hip arthroplasty

Michael Aynardi  1 , Luis Pulido, Javad Parvizi, Peter F Sharkey, Richard H Rothman
Affiliations

Early mortality after modern total hip arthroplasty

Michael Aynardi et al. Clin Orthop Relat Res. 2009 Jan.

Abstract

Because of improvements in surgical technique, anesthesia, and rehabilitation, mortality after hip arthroplasty may be on the decline. The purpose of this study was to determine the 90-day mortality rate after uncemented total hip arthroplasty (THA) performed under regional anesthesia. We retrospectively reviewed 7478 consecutive patients undergoing cementless primary or revision THA between January 2000 and July 2006. Patient survivorship was established and causes of death were obtained by accessing the Social Security Death Index, Centers for Disease Control and Prevention National Death Index, and State Departments of Vital Statistics. There were two intraoperative deaths from cardiac arrest. The overall 30- and 90-day mortality rates were 0.24% (18 of 7478) and 0.55% (41 of 7478), respectively. Thirty-day mortality after primary THA was low at 0.13% (eight of 6272). The most common cause of death was cardiovascular-related. Mortality after modern THA seems to have remained very low despite the availability of this procedure to patients of all ages and comorbidities.

Level of evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Figures

Fig. 1
Fig. 1
Age-matched death rates of the United States general population and patients undergoing total hip replacement are shown. The authors have not controlled for any other variables that influence mortality. All patients undergoing THA had preoperative screening prior to elective surgery.
See this image and copyright information in PMC

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1080/17453670710013663', 'is_inner': False, 'url': 'https://doi.org/10.1080/17453670710013663'}, {'type': 'PubMed', 'value': '17464605', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/17464605/'}]}
    2. Andersen LJ, Poulsen T, Krogh B, Nielsen T. Postoperative analgesia in total hip arthroplasty: a randomized double-blinded, placebo-controlled study on peroperative and postoperative ropivacaine, ketorolac, and adrenaline wound infiltration. Acta Orthop. 2007;78:187–192. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.2106/JBJS.D.02440', 'is_inner': False, 'url': 'https://doi.org/10.2106/jbjs.d.02440'}, {'type': 'PubMed', 'value': '16140810', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16140810/'}]}
    2. Barrett J, Losina E, Baron JA, Mahomed NN, Wright J, Katz JN. Survival following total hip replacement. J Bone Joint Surg Am. 2005;87:1965–1971. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1080/17453670610046244', 'is_inner': False, 'url': 'https://doi.org/10.1080/17453670610046244'}, {'type': 'PubMed', 'value': '16819670', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16819670/'}]}
    2. Blom A, Pattison G, Whitehouse S, Taylor A, Bannister G. Early death following primary total hip arthroplasty: 1727 procedures with mechanical thrombo-prophylaxis. Acta Orthop. 2006;77:347–350. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/j.arth.2006.01.029', 'is_inner': False, 'url': 'https://doi.org/10.1016/j.arth.2006.01.029'}, {'type': 'PubMed', 'value': '17162167', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/17162167/'}]}
    2. Burke WV, Orishimo KF, McAuley JP, Engh CA. Midterm radiographic comparison of cementless acetabular shells containing lateralized and nonlateralized liners. J Arthroplasty. 2006;21:1099–1104. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.275.11.858', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.275.11.858'}, {'type': 'PubMed', 'value': '8596224', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8596224/'}]}
    2. Chang RW, Pellisier JM, Hazen GB. A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA. 1996;275:858–865. - PubMed

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