Heart, Renal Failure Among Risk Factors for Mortality After Orthopedic, Vascular Surgery

Researchers have determined several factors that may be associated with increased risk of mortality after orthopedic and vascular surgery, according to a study published in the Annals of Surgery.

For the study, researchers mined data in the Hospital Episode Statistics database for patient outcomes following total hip or knee replacement and abdominal aortic aneurysm repair from 2006 to 2007 and 2009 to 2010. Patient outcomes measured included mortality, length of stay and readmission rates.

 



The researchers found a 0.2 percent and 3.5 percent mortality rate among 414,985 total hip or knee replacements and 14,524 abdominal aortic aneurysm repairs, respectively. Several factors were associated with increased risk of mortality for both surgeries, including heart failure, renal failure, liver disease, peripheral vascular disease and non-atrial fibrillation arrhythmia.

The added risk of previous acute coronary syndrome or stroke was also linked to boosted odds of mortality after total hip or knee replacement surgery but not abdominal aortic aneurysm repairs.

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