Thirty-Day Mortality After Total Knee Arthroplasty

作者: Javad Parvizi , Thomas A. Sullivan , Robert T. Trousdale , David G. Lewallen

DOI: 10.2106/00004623-200108000-00004

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摘要: Background: There have been sporadic reports on perioperative mortality associated with total knee arthroplasty. The purpose of this study was to determine risk factors for such mortality. Methods: A computer-assisted review the records 22,540 consecutive patients who had undergone arthroplasty between 1969 and 1997 performed identify all died within thirty days after procedure. detailed analysis medical, surgical, anesthetic, pathological performed, determined according age, gender, diagnosis, fixation method. Results: rate operation 0.21% (forty‐seven 22,540). All deaths occurred in group 18,810 received a cemented implant, no among 3730 an uncemented implant (p < 0.0001). 0.24% (forty‐three 18,165) primary 0.09% (four 4375) revision 0.0003). Three (0.01%) during operation. Forty‐three forty‐seven history preexisting cardiovascular and/or pulmonary disease. Simultaneous bilateral significantly higher 0.002). Conclusions: Factors that were increased included age more than seventy years, (as compared revision) surgery, use prosthesis, cardiopulmonary disease, simultaneous

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