Why the study?
Does performing elective THKR or AAA surgery within 12 months of an acute coronary syndrome or stroke increase perioperative mortality compared to more delayed surgery?
Population
429,509 patients undergoing elective total hip or knee replacement or abdominal aortic aneurysm repair
Comparison
Elective surgery performed within 6 to 12 months… vs More delayed surgery (>12 months post-ACS/stroke)
Design
Cohort
Follow-up
Perioperative
Authors
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THKR within 12 months of ACS was associated with higher mortality; hypothesis-generating and should not yet change practice.
Does performing elective THKR or AAA surgery within 12 months of an acute coronary syndrome or stroke increase perioperative mortality compared to more delayed surgery?
Elective total hip or knee replacement performed within 12 months of an acute coronary syndrome is associated with significantly increased perioperative mortality, suggesting a need to delay elective orthopedic surgeries longer than currently advocated.
Sanders et al. (2012) studied this question.
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