Incidence and timing of myocardial infarction after total joint arthroplasty

被引：52

作者：

Gandhi, Rajiv

Petruccelli, Danielle

Devereaux, Philip J.

Adili, Anthony

Hubmann, Matthias

de Beer, Justin

机构：

[1] Hamilton Hlth Sci Henderson Hosp, Hamilton Arthroplasty Grp, Hamilton, ON L8V 1C3, Canada

[2] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada

[3] McMaster Univ, Dept Med, Hamilton, ON, Canada

[4] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada

[5] St Josephs Healthcare Hamilton, Hamilton, ON, Canada

[6] Karl Franzens Univ Graz, Fac Med, Graz, Austria

来源：

JOURNAL OF ARTHROPLASTY | 2006年 / 21卷 / 06期

关键词：

total joint arthroplasty; myocardial infarction; surgery; incidence; perioperative;

D O I：

10.1016/j.arth.2005.10.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Retrospective review of 3471 patients who underwent total joint arthroplasty (TJA) (1479 hips, 1992 knees) to determine the incidence and timing of inhospital myocardial infarction (MI) after TJA. Sixty-three patients (1.8%; 95% Cl, 1.4%-2.4%) suffered a perioperative MI occurring at a mean of 3 days post surgery. In multivariate analysis, increased age, body mass index, bilateral TJA, diabetes, and American Society of Anesthesiologists rating 3 were associated with perioperative MI. Our data cautions against hospital discharge within 3 days of surgery.

引用

页码：874 / 877

页数：4

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