Risk Factors Associated With Postoperative Cardiac Events Following Total Hip and Knee Arthroplasty

Shivan N. Chokshi, Vanessa Liu, William M. Weiss

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This study investigated the prevalence of adverse cardiac events following a total joint arthroplasty and subsequently analyzed risk factors that may increase the likelihood of these events. Methods: Data for this study were extracted from a large national database. Chi-squared analyses and multivariate modelings were performed to determine the risk factors associated with 30-day perioperative troponin elevation, myocardial infarction (MI), and heart failure. We identified 80,544 total hip arthroplasty (THA) patients and 112,531 total knee arthroplasty (TKA) patients and analyzed the following cardiac risk factors: diabetes, renal insufficiency, prior MI, hypertension, and cerebrovascular disease. Results: There were 34% of THA patients and 52% of TKA patients who had at least one of the studied risk factors. At-risk THA patients had 2.2, 5.9, and 5.3 times the odds of troponin elevation, MI, and postoperative heart failure, respectively, within 1 month compared to the control group (P < .0001). The TKA group had 2.9, 5.3, and 5.9 times the odds of troponin elevation, MI, and postoperative heart failure within 1 month compared to the control group (P < .0001). For both procedures, prior MI had the highest odds of resulting in perioperative troponin elevation and MI. Renal insufficiency had the highest odds of resulting in perioperative heart failure. Conclusions: Risk stratification for postoperative complications in orthopedic surgery is important to minimize adverse outcomes. This study highlights the need for consideration of risk factors prior to joint arthroplasty surgery. Level of Evidence: Level III, Prognostic.

Original languageEnglish (US)
Pages (from-to)825-830
Number of pages6
JournalJournal of Arthroplasty
Volume39
Issue number3
DOIs
StatePublished - Mar 2024
Externally publishedYes

Keywords

  • cardiac complications
  • orthopedics
  • outcomes
  • total hip arthroplasty
  • total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Fingerprint

Dive into the research topics of 'Risk Factors Associated With Postoperative Cardiac Events Following Total Hip and Knee Arthroplasty'. Together they form a unique fingerprint.

Cite this