ArticleInternational orthopaedics2016
Inpatient mortality after elective primary total hip and knee joint arthroplasty in Botswana.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Total joint replacement in sub-Saharan Africa: a systematic review.Tropical doctor · 2019Pooled it
- Article
- Early Mortality Rate and Associated Risk Factor in Patients Undergoing Primary Total Hip Replacement at a Tertiary Hospital in Tanzania.Advances in orthopedics · 2025Article
- Dual mobility total hip replacement: a 15-year experience in Burkina Faso.The Pan African medical journal · 2022Article
- Use of dual mobility cups for total hip arthroplasty in sub-Saharan Africa: interest and perspectives.International orthopaedics · 2022Review
- Change in the cause of inpatient mortality after arthroplasty: a retrospective study.Journal of orthopaedic surgery and research · 2019Article
- Joint replacement surgery in Ghana (West Africa)-an observational study.International orthopaedics · 2019Observational
- Re-admissions treble the risk of late mortality after primary total hip arthroplasty.International orthopaedics · 2018Article
- High-volume surgeons and high-volume journals in a multivariate orthopedic environment.International orthopaedics · 2018Article
- Total Knee Arthroplasty in a Low-Income Country: Short-Term Outcomes from a National Joint Registry.JB & JS open access · 2018Article
- Imperfection leads to progress.International orthopaedics · 2017Article
- Total Hip Arthroplasty in a Low-Income Country: Ten-Year Outcomes from the National Joint Registry of the Malawi Orthopaedic Association.JB & JS open accessArticle
- Early Outcomes of a Hip Arthroplasty Program in Rural Ethiopia.JB & JS open accessArticle
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTotal hip and knee joint arthroplasty (TJA) rank among the most successful orthopaedic operations. Several developing countries in Africa have started to perform these procedures that are routine in developed countries. The aims of this study were to measure the incidence and assess the determinants of in-hospital mortality after elective primary TJA in our unit and compare it with published data.
methodsThis was a retrospective study of the first consecutive cohort of patients who underwent elective primary TJA in Princess Marina Hospital, Botswana between March 2009 and October 2015 (6.5 years).
results346 elective joint replacements were performed comprising 153 total hip arthroplasties (THA) and 193 total knee arthroplasties (TKA); 36 % of the THA were in female patients and 82 % of TKA were in females. The mean age was 64.5 years (range 26-86). Three patients died giving an inpatient mortality rate of 0.86 %. These three mortalities represent 1.55 % (three out of 193) of all the TKA. There were no deaths after THA. The cause of mortality in two patients was an adverse cardiac event while the third mortality was due to pulmonary embolism.
conclusionThe inpatient mortality rate of 0.86 % following TJA is higher than the reported rates in the developed countries but comparable with data from other developing countries. The inpatient mortality rate following TKA was higher than that following THA and cardiovascular events proved to be the main cause of death. We recommend formal cardiology assessment and close peri-operative monitoring of all patients with a history of cardiovascular disease undergoing TJA.
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