Evidence map›Paper›PMID 41103257›Full record

Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026

Primary knee arthroplasty in Sweden: A nationwide analysis of all-cause 30-day mortality and impact of age and ASA-class.

Johanna Jarstad, Johanna Albert, Olof Sköldenberg, Jon Karlsson, Jan Gustav Jakobsson

Abstract readObservational Study
In one paragraph

Observational study in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Johanna JarstadDepartment of Clinical Sciences, All at Karolinska Institutet, Danderyds Hospital, Danderyd, Sweden.
Johanna AlbertDepartment of Anaesthesia & Intensive Care, Danderyds University Hospital, Stockholm, Sweden.
Olof SköldenbergDepartment of Clinical Sciences, All at Karolinska Institutet, Danderyds Hospital, Danderyd, Sweden.
Jon KarlssonDepartment of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg, Sweden.
Jan Gustav JakobssonDepartment of Clinical Sciences, All at Karolinska Institutet, Danderyds Hospital, Danderyd, Sweden.ORCID https://orcid.org/0000-0002-5829-1803

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeKnee arthroplasty is one of the most common orthopaedic procedures in Sweden, which is in line with many other countries in the Western world. There is no recent data on all-cause 30-day mortality associated with primary knee arthroplasty in Sweden during recent years. The purpose of the present observational quality register study was to investigate the mortality at 0, 7, 30 and 90 days after primary knee arthroplasty, and the impact of age and ASA-class. MATERIAL: Data from SPOR (Swedish PeriOperative Registry) on primary knee arthroplasty (ICD code NGB) registered between 2017 and 2021 in patients ≥18 years was analysed. Perioperative mortality rates and impact of age and ASA were analysed and are presented as numbers, proportions and 95% confidence interval.

resultsThe study cohort included 35,794 patients. The study found overall low 30-day mortality rate, 16 out of 35,794 patients (0.045%, 95% confidence Interval 0.027%-0.071%), no patients died on the day of surgery, six died within one week, while 50 died within 90 days, with no significant differences over the years. High age and higher ASA-class were associated with higher mortality.

conclusionsThe study showed a low and stable 30-day mortality associated with primary knee arthroplasty at 0.045%. Age above 80 years and ASA-Classes III and IV were associated with increased mortality rate, the benefit versus risk in relation to knee arthroplasty procedure should be assessed individually in patients above 80 years and ASA-Classes III and IV. LEVEL OF EVIDENCE: N/A.

Indexed as

Arthroplasty, Replacement, KneeAdultAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedRegistriesSwedenageASA‐classknee arthroplastymortalityperioperative mortality rate (POMR)primary

Identifiers

PMID41103257
PMCPMC13266930

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Registered trials

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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.