Observational studyInternational orthopaedics2015
A nationwide analysis of risk factors for in-hospital myocardial infarction after total joint arthroplasty.
Observational study in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Levosimendan vs. Intra-Aortic Balloon Pump in Coronary Artery Bypass Grafting: A Meta-Analysis.Brazilian journal of cardiovascular surgery · 2026Pooled it
- The effect of milrinone on mortality in adult patients who underwent CABG surgery: a systematic review of randomized clinical trials with a meta-analysis and trial sequential analysis.BMC cardiovascular disorders · 2020Pooled it
- Impact of chronic kidney disease on outcomes after total joint arthroplasty: a meta-analysis and systematic review.International orthopaedics · 2020Pooled it
- The Influence of Diabetes Mellitus on Patients Undergoing Primary Total Lower Extremity Arthroplasty: A Systematic Review and Meta-Analysis.BioMed research international · 2020Pooled it
- Risk factors associated with cardiac complication after total joint arthroplasty of the hip and knee: a systematic review.Journal of orthopaedic surgery and research · 2019Pooled it
- Risk Factors for Cardiac Complications Following Primary Total Knee Arthroplasty: A National Database Analysis.Clinics in orthopedic surgery · 2025Article
- Complications due to HIV in patients undergoing total joint arthroplasty: A systematic review and meta-analysis.Journal of orthopaedics · 2025Review
- Esketamine alleviated cardiomyocyte ferroptosis induced by oxygen-glucose deprivation/reoxygenation (OGD/R) via cyclic GMP-AMP synthase interactor.Cytotechnology · 2025Article
- Postoperative outcomes linked to congestive heart failure in arthroscopic rotator cuff repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Early Mortality Rate and Associated Risk Factor in Patients Undergoing Primary Total Hip Replacement at a Tertiary Hospital in Tanzania.Advances in orthopedics · 2025Article
- Improved outcomes with perioperative dietitian-led interventions in patients undergoing total joint arthroplasty: A systematic review.Journal of orthopaedics · 2024Review
- Takotsubo syndrome after bilateral simultaneous total knee arthroplasty - A case report.Journal of orthopaedics · 2024Article
- Postoperative complications associated with congestive heart failure in aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Total Knee Arthroplasty in Human Immunodeficiency Virus Patients: A Literature Review.Arthroplasty today · 2024Article
- Risk factors for in-patient myocardial infarction following total hip arthroplasty.Journal of orthopaedics · 2024Article
- Cardiovascular Disease in Total Knee Arthroplasty: An Analysis of Hospital Outcomes, Complications, and Mortality.Clinics in orthopedic surgery · 2024Article
- Prognostic value of perioperative high sensitivity troponin in patients undergoing hip and knee arthroplasty.Clinics (Sao Paulo, Brazil) · 2024Observational
- Primary and Revision Total Hip Arthroplasty in Patients With Pulmonary Hypertension: High Perioperative Mortality and Medical Complications.The Journal of arthroplasty · 2023Article
- The risk analysis of perioperative complications of cementless hip arthroplasty in octogenarians.Archives of orthopaedic and trauma surgery · 2023Article
- Cardiac Comorbidity Risk Score: Zero-Burden Machine Learning to Improve Prediction of Postoperative Major Adverse Cardiac Events in Hip and Knee Arthroplasty.Journal of the American Heart Association · 2022Observational
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDespite acute myocardial infarction (AMI) being a feared medical complication and currently a major cause of death after total hip and knee arthroplasty (THA/TKA), little is known about its peri-operative associated factors.
methodsData for this retrospective cohort study were extracted from the Nationwide Inpatient Sample for 2008-2011. Multivariate logistic regression modeling was performed to determine peri-operative factors associated with the development of inpatient AMI following THA/TKA.
resultsAn estimated 3,096,791 procedures were identified. Perioperative AMI rates were 0.25 % for THA and 0.18 % for TKA. Patients with AMI had significantly greater comorbidity burden, higher peri-operative mortality rates, longer length of hospital stay and increased complication rates. Independent risk factors for the development of AMI comprised advance age, male gender [odds ratio (OR) 1.4, 95 % confidence interval (CI) 1.4-1.5], THA surgery (OR 1.3, 95 % CI 1.3-1.4), low household income (OR 1.3, 95 % CI 1.2-1.4), history of cardiac disease (coronary artery disease: OR 4.9, 95 % CI 4.6-5.2; congestive heart failure: OR 2.6, 95 % CI 2.4-2.8; valvular disease: OR 1.2, 95 % CI 1.1-1.3), diabetes (OR 1.1, 95 % CI 1.1-1.2), pulmonary circulation disorders (OR 1.4, 95 % CI 1.2-1.6), cerebrovascular disease (OR 2.3, 95 % CI 2.0-2.6), peripheral vascular disorders (OR 1.5, 95 % CI 1.4-1.7), coagulopathy (OR 1.4, 95 % CI 1.2-1.5), AIDS/HIV infection (OR 7.9, 95 % CI 4.5-13.9), deficiency anaemia (OR 1.4, 95 % CI 1.3-1.5), fluid and electrolyte disorders (OR 1.9, 95 % CI 1.8-2.0) and the occurrence of concomitant postoperative complications.
conclusionOur findings can be used to better identify patients at high risk of AMI and to develop strategies aimed at diminishing its incidence, which could in turn translate to improved hospital efficiency and quality of care.
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