ArticleThe Journal of bone and joint surgery. American volume2001
Thirty-day mortality after total knee arthroplasty.
Article in The Journal of bone and joint surgery. American volume, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effects of advanced age on primary total knee arthroplasty: a meta-analysis and systematic review.BMC geriatrics · 2016Pooled it
- Clinical safety and efficacy of simultaneous bilateral total knee arthroplasty in an Asian population: a propensity score-matched analysis.Journal of orthopaedic surgery and research · 2025Article
- Optimal timing for the second surgery in staged bilateral total knee arthroplasty: a patient-determined interval approach.BMC surgery · 2025Article
- Periprosthetic joint infections in patients with rheumatoid arthritis are associated with higher complication and mortality rates.Archives of orthopaedic and trauma surgery · 2024Article
- Article
- No Difference in 30-day Mortality Between Patients Undergoing Bilateral Simultaneous Total Knee Arthroplasty With Technology Assistance Compared to Conventional Instrumentation.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Unicompartmental Knee Arthroplasty in Octogenarians: A National Database Analysis Including Over 700 Octogenarians.Arthroplasty today · 2022Article
- No effect of fixation type on early and late mortality after total knee arthroplasty: a Dutch arthroplasty register study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Predictors of 90-Day All-Cause Morbidity, Mortality and Poor Functional Outcome Scores Following Elective Total Knee Arthroplasty in a High-Volume Setting: A Prospective Cohort Study.Indian journal of orthopaedics · 2022Article
- Understanding the 30-day mortality burden after revision total knee arthroplasty.Arthroplasty today · 2021Article
- Incidence and risk factors analysis for mortality after total knee arthroplasty based on a large national database in Korea.Scientific reports · 2021Article
- A Novel, Potentially Universal Machine Learning Algorithm to Predict Complications in Total Knee Arthroplasty.Arthroplasty today · 2021Article
- The association of preoperative blood markers with postoperative readmissions following arthroplasty.Bone & joint open · 2021Article
- Article
- How well do elderly patients do after total knee arthroplasty in the era of fast-track surgery?Arthroplasty (London, England) · 2020Article
- One-stage versus 2-stage bilateral total joint arthroplasty: a matched cohort study.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
- Is blood transfusion really required in simultaneous bilateral Total Knee Replacement: A retrospective observational study.Journal of clinical orthopaedics and trauma · 2020Review
- Greater Rates of Acute Kidney Injury in African American Total Knee Arthroplasty Patients.The Journal of arthroplasty · 2019Article
- Complications and readmissions following outpatient total hip and knee arthroplasty: a prospective 2-center study with matched controls.Acta orthopaedica · 2019Article
- Simultaneous, same-anaesthetic bilateral total knee arthroplasty has low mortality and complication rates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere have been sporadic reports on perioperative mortality associated with total knee arthroplasty. The purpose of this study was to determine risk factors for such mortality.
methodsA computer-assisted review of the records of 22,540 consecutive patients who had undergone total knee arthroplasty between 1969 and 1997 was performed to identify all patients who had died within thirty days after the procedure. A detailed analysis of the medical, surgical, anesthetic, and pathological records of the patients was performed, and the mortality was determined according to age, gender, diagnosis, and fixation method.
resultsThe rate of mortality within thirty days after the operation was 0.21% (forty-seven of 22,540). All deaths occurred in the group of 18,810 patients who had received a cemented implant, and no deaths occurred among the 3730 patients who had received an uncemented implant (p < 0.0001). The mortality rate was 0.24% (forty-three of 18,165) after primary arthroplasty and 0.09% (four of 4375) after revision arthroplasty (p < 0.0003). Three patients (0.01%) died during the operation. Forty-three of the forty-seven patients who died had a history of preexisting cardiovascular and/or pulmonary disease. Simultaneous bilateral total knee arthroplasty was associated with a significantly higher rate of perioperative mortality (p < 0.002).
conclusionsFactors that were associated with a significantly increased mortality after total knee arthroplasty included an age of more than seventy years, primary (as compared with revision) knee surgery, use of a cemented prosthesis, preexisting cardiopulmonary disease, and simultaneous bilateral arthroplasty.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.