Fatal pulmonary embolism after total hip arthroplasty : Diurnal variations. Discussion.
From 1970 through 1986, a total of 18,104 Charnley low-friction arthroplasties were performed ; of these, 122 deaths occurred from pulmonary embolism within 1 year of surgery.
Diagnosis was confirmed by post-mortem examination in 71% of cases.
The exact time of the onset of the complication was recorded in 90 cases.
In 74 (82%) cases, the time of collapse occurred during the 7-hour period from 9 : 00 AM to 4 : 00 PM, and in 16 (18%) cases, it occurred in the 17-hour period from 4 : 00 PM to 9 : 00 AM.
The patient's activity at the time of collapse was recorded in 73 cases.
Sixty (82%) were mobile, 3 were in the bathroom, and 10 (14%) were in bed.
Sixty-six (70.2%) patients died within 1 hour of the onset of symptoms.
Mots-clés Pascal : Prothèse, Total, Hanche, Embolie pulmonaire, Complication, Postopératoire, Epidémiologie, Incidence, Variation diurne, Homme, Mortalité, Chirurgie orthopédique, Appareil respiratoire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Prosthesis, Total, Hip, Pulmonary embolism, Complication, Postoperative, Epidemiology, Incidence, Diurnal variation, Human, Mortality, Orthopedic surgery, Respiratory disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0059311
Code Inist : 002B11C. Création : 31/05/1999.