THA and TKA in patients with cardiovascular disease: What makes the risk of perioperative bleeding?

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F16%3AN0000124" target="_blank" >RIV/00064173:_____/16:N0000124 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/16:43912647

Result on the web

<a href="http://dx.doi.org/10.4149/BLL_2016_122" target="_blank" >http://dx.doi.org/10.4149/BLL_2016_122</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4149/BLL_2016_122" target="_blank" >10.4149/BLL_2016_122</a>

Result language

angličtina

Original language name

THA and TKA in patients with cardiovascular disease: What makes the risk of perioperative bleeding?

Original language description

BACKROUND: The purpose of the study was to ascertain the incidence of bleeding and ischaemic complications in patients with cardiac disease after total hip arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: In total, 477 patients (289 women, 188 men) with known history of cardiac disease or thromboembolic disease treated with surgery in 2010-2013, were enrolled in the study. Perioperative prevention of thromboembolic disease using low-molecular-weight heparins was applied in all the patients. The data that could have an impact on the development of monitored perioperative complications, were observed. RESULTS: Complications occurred in 55 (11.6 %) patients: bleeding complications in 32, ischaemic in 19, and both in four patients. Complications were found in 13 (12.0 %) patients after THA and in 6 (9.5 %) patients after TKA. Bleeding complications were observed in 17 patients after THA and TKA, ischaemic in one, and both simultaneously in one patient. Bleeding complications occurred insignificantly more frequently after THA and TKA (p = 0.094); however, this difference was statistically significant after adjustment for risk factors (p = 0.003). On the contrary, ischaemic complications were significantly more frequent after other skeletal surgeries (p = 0.014). Nevertheless, this difference was not statistically significant after the adjustment (p = 0.880). The comparison of the risk of complications in patients after THA with that in patients after TKA showed no significant difference (p = 0.580). CONCLUSION: The study showed a significantly higher incidence of bleeding complications in patients after THA and TKA compared to other surgeries of the musculoskeletal system in patients with a history of cardiac disease.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FI - Traumatology and orthopaedics

OECD FORD branch

—

Project

<a href="/en/project/NT11506" target="_blank" >NT11506: Perioperative ischemia versus perioperative bleeding during non-cardiac surgery in cardiac patients : PRAGUE 14 Study</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Bratislava Medical Journal

ISSN

0006-9248

e-ISSN

—

Volume of the periodical

117

Issue of the periodical within the volume

11

Country of publishing house

SK - SLOVAKIA

Number of pages

3

Pages from-to

628-630

UT code for WoS article

000388707600002

EID of the result in the Scopus database

2-s2.0-85014939982