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Total Hip Arthropla...
Total Hip Arthroplasty in 6690 Patients with Inflammatory Arthritis : Effect of Medical Comorbidities and Age on Early Mortality
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- Weiss, Rüdiger J. (författare)
- Karolinska Institutet
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- Garellick, Göran (författare)
- Sahlgrens Univ Hosp, Inst Clin Sci, Dept Orthoped, Gothenburg, Sweden
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- Kärrholm, Johan (författare)
- Sahlgrens Univ Hosp, Inst Clin Sci, Dept Orthoped, Gothenburg, Sweden
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- Hailer, Nils P. (författare)
- Uppsala universitet,Ortopedi
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(creator_code:org_t)
- 2016-05-01
- 2016
- Engelska.
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Ingår i: Journal of Rheumatology. - : The Journal of Rheumatology. - 0315-162X .- 1499-2752. ; 43:7, s. 1320-1327
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective. We analyzed early mortality after total hip arthroplasty ( THA) in patients with inflammatory arthritis ( IA), adjusting for medical comorbidities and socioeconomic background.Methods. Data on 6690 patients with IA who underwent THA during 1992-2012 were extracted from the Swedish Hip Arthroplasty Register. Data on comorbidity, measured using the Charlson Comorbidity Index ( CCI), and socioeconomic data were gathered from the Swedish National Inpatient Register and Statistics Sweden. The CCI was divided into low ( 0), moderate ( 1-2), and high (> 2). Cox proportional hazards models were fitted to calculate adjusted HR of early mortality, with 95% CI.Results. Twenty-five patients ( 0.4%) died within 0-90 days, giving a 90-day unadjusted survival rate of 99.6% ( CI 99.5-99.8). Comorbidity was associated with an increased risk of death within 90 days postoperatively [ high vs low CCI: adjusted HR 9.0 ( CI 1.6-49.9)]. There was a trend toward lower risk of death during the period 1999-2005, although patients operated on during this period had more comorbidities than those operated on from 1992 to 1998. A large proportion of patients was re-admitted to hospital within 90 days after the index procedure ( 30.2%), but rarely for cardiovascular reasons.Conclusion. Medical comorbidity and an age above 75 years are associated with a substantial increase in the risk of early death after THA in patients with IA. Awareness of potential risk factors may alert clinicians and thus improve perioperative care.
Nyckelord
- EPIDEMIOLOGY
- INFLAMMATORY ARTHRITIS
- ORTHOPEDIC SURGERY
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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