Postoperative mortality after total hip arthroplasty : An analysis of deaths after two thousand seven hundred and thirty-six procedures.
We retrospectively determined the prevalence and nature of mortality as many as ninety days after 2736 primary and revision total hip arthroplasties performed in 2002 patients by one surgeon at a teaching hospital between January 1969 and December 1996.
All but seventy-one of the patients had received prophylaxis against venous thromboembolic disease.
There were no intraoperative deaths, and no events during the operation could be linked directly to postoperative mortality.
Eight deaths (mortality rate, 0.3 per cent) occurred within ninety days after the 2736 procedures.
Four deaths (mortality rate, 0.15 per cent) occurred during the initial hospitalization.
The cause of seven of the deaths was determined.
Three patients died as a result of preexisting disease (severe hepato-renal disease, metastatic esophageal cancer, or severe cardiac disease), and one patient died from sepsis with a gram-negative organism during a thoracotomy eight days postoperatively.
A bleeding complication that occurred while the patient was receiving warfarin therapy led to the death of two other patients ; one of these deaths occurred in 1974 and the other, in 1982.
At the time that these patients were managed, the desired prothrombin time was considered to be twice the control value. (...)
Mots-clés Pascal : Prothèse, Total, Hanche, Epidémiologie, Prévalence, Mortalité, Postopératoire, Complication, Homme, Technique, Traitement, Chirurgie orthopédique
Mots-clés Pascal anglais : Prosthesis, Total, Hip, Epidemiology, Prevalence, Mortality, Postoperative, Complication, Human, Technique, Treatment, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0482556
Code Inist : 002B25I. Création : 19/02/1999.