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June 1, 2012Anesthesia & Analgesia

Trends in In-Hospital Major Morbidity and Mortality After Total Joint Arthroplasty

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Why the study?

What are the temporal trends in demographics and perioperative outcomes for patients undergoing total hip or knee arthroplasty between 1998 and 2008?

Population

Patients undergoing primary total hip or total knee arthroplasty from the US Nationwide Inpatient Sample…

Design

Cohort

Follow-up

in-hospital

Authors

MKMeghan KirkseyYCYa Lin ChiuYMYan Ma

Discussion

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Overview

Declining mortality after TKA/THA despite rising complications was associated with time trends; leaves open causal factors and applicability to contemporary practice.

Structured PICO

What are the temporal trends in demographics and perioperative outcomes for patients undergoing total hip or knee arthroplasty between 1998 and 2008?

P
Population
Patients undergoing primary total hip (THA) or total knee arthroplasty (TKA) from the US Nationwide Inpatient Sample between 1998 and 2008.
I
Intervention
Total hip arthroplasty (THA) or total knee arthroplasty (TKA)
O
Outcome
Trends in patient age, comorbidity burden, length of hospitalization, frequency of major perioperative complications, and in-hospital mortalityhard clinical

Despite an increasing comorbidity burden and rising rates of major perioperative complications, in-hospital mortality following total joint arthroplasty declined between 1998 and 2008.

Cite This Study

Kirksey et al. (2012) studied this question.

synapsesocial.com/papers/6a7290dc5d37378ac1df4ac8https://doi.org/10.1213/ane.0b013e31825b6824
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