Risk factors associated with cardiac complication after total joint arthroplasty of the hip and knee: a systematic review.
Arthroplasty
Cardiac
Complication
Risk factor
THA
TKA
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
11 Jan 2019
11 Jan 2019
Historique:
received:
20
10
2018
accepted:
28
12
2018
entrez:
13
1
2019
pubmed:
13
1
2019
medline:
7
5
2019
Statut:
epublish
Résumé
Cardiac complication represents a major cause of morbidity and mortality after total joint arthroplasty, thus necessitating investigation into the associated risks in total hip arthroplasty and total knee arthroplasty. There remains a lack of clarity for many risk factors in the current literature. The aim of this systematic review is to assess the most recent published literature and identify the risk factors associated with cardiac complication in total hip arthroplasty and total knee arthroplasty. Scopus, PubMed, CINHAL, and Cochrane were searched to identify studies published since 2008 reporting on risk factors associated with cardiac complication in elective primary in total hip arthroplasty and total knee arthroplasty in patients ≥18 years old with osteoarthritis. Reported odds ratios, hazard ratios, and relative risk were the principal summary measures collected. The included studies were too heterogeneous to enable meta-analysis. Fifteen studies were included in this systematic review. Increasing age and history of cardiac disease were found by most studies to be positively associated with risk of cardiac complication. There was no strong association found between obesity and cardiac complication. The evidence for other risk factors was less clear in the examined literature, although there is suggestive evidence for male gender and cerebrovascular disease increasing risk. Increasing age and history of cardiac disease increases the risk of cardiac complication after total hip arthroplasty and total knee arthroplasty. Other risk factors commonly attributed to increased risk in non-cardiac surgery including hypertension and obesity require further evaluation in arthroplasty. A detailed protocol was published in the PROSPERO database (registration number CRD42018095887 ) for this systematic review.
Sections du résumé
BACKGROUND
BACKGROUND
Cardiac complication represents a major cause of morbidity and mortality after total joint arthroplasty, thus necessitating investigation into the associated risks in total hip arthroplasty and total knee arthroplasty. There remains a lack of clarity for many risk factors in the current literature. The aim of this systematic review is to assess the most recent published literature and identify the risk factors associated with cardiac complication in total hip arthroplasty and total knee arthroplasty.
METHODS
METHODS
Scopus, PubMed, CINHAL, and Cochrane were searched to identify studies published since 2008 reporting on risk factors associated with cardiac complication in elective primary in total hip arthroplasty and total knee arthroplasty in patients ≥18 years old with osteoarthritis. Reported odds ratios, hazard ratios, and relative risk were the principal summary measures collected. The included studies were too heterogeneous to enable meta-analysis.
RESULTS
RESULTS
Fifteen studies were included in this systematic review. Increasing age and history of cardiac disease were found by most studies to be positively associated with risk of cardiac complication. There was no strong association found between obesity and cardiac complication. The evidence for other risk factors was less clear in the examined literature, although there is suggestive evidence for male gender and cerebrovascular disease increasing risk.
CONCLUSIONS
CONCLUSIONS
Increasing age and history of cardiac disease increases the risk of cardiac complication after total hip arthroplasty and total knee arthroplasty. Other risk factors commonly attributed to increased risk in non-cardiac surgery including hypertension and obesity require further evaluation in arthroplasty.
SYSTEMATIC REVIEW REGISTRATION
BACKGROUND
A detailed protocol was published in the PROSPERO database (registration number CRD42018095887 ) for this systematic review.
Identifiants
pubmed: 30635012
doi: 10.1186/s13018-018-1058-9
pii: 10.1186/s13018-018-1058-9
pmc: PMC6330438
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
15Références
Epidemiology. 1999 Mar;10(2):161-6
pubmed: 10069252
Am J Orthop (Belle Mead NJ). 2006 Nov;35(11):503-10
pubmed: 17152971
Lancet. 2007 Oct 27;370(9597):1508-19
pubmed: 17964352
Arthritis Rheum. 2008 Apr 15;59(4):481-8
pubmed: 18383407
Arthritis Rheum. 2008 Jul;58(7):1915-20
pubmed: 18576321
Med Care. 2009 Jul;47(7):732-41
pubmed: 19536034
Ann Intern Med. 2009 Aug 18;151(4):264-9, W64
pubmed: 19622511
J Arthroplasty. 2010 Dec;25(8):1216-22.e1-3
pubmed: 19879720
J Orthop Traumatol. 2014 Mar;15(1):29-33
pubmed: 23989856
J Arthroplasty. 2014 Mar;29(3):465-8
pubmed: 23993434
HSS J. 2013 Feb;9(1):50-9
pubmed: 24426845
Anesth Analg. 2014 Feb;118(2):407-18
pubmed: 24445639
J Arthroplasty. 2014 Jul;29(7):1430-4
pubmed: 24703783
Bone Joint Res. 2014 Jun;3(6):175-82
pubmed: 24894596
Acta Orthop. 2014 Sep;85(5):456-62
pubmed: 24954493
J Arthroplasty. 2014 Oct;29(10):2025-30
pubmed: 24973000
J Arthroplasty. 2014 Dec;29(12):2430-8
pubmed: 24996584
Clin Orthop Relat Res. 2014 Nov;472(11):3570-5
pubmed: 25138473
Int Orthop. 2015 Apr;39(4):777-86
pubmed: 25172363
J Arthroplasty. 2015 Mar;30(3):419-34
pubmed: 25453632
J Arthroplasty. 2015 May;30(5):770-5
pubmed: 25512032
J Bone Joint Surg Am. 2014 Dec 17;96(24):2025-31
pubmed: 25520335
J Arthroplasty. 2015 Mar;30(3):369-73
pubmed: 25529285
Anesth Analg. 2015 Jan;120(1):230-8
pubmed: 25625265
Arch Orthop Trauma Surg. 2015 Jun;135(6):759-72
pubmed: 25854654
BMC Musculoskelet Disord. 2015 Feb 10;16:24
pubmed: 25887100
J Surg Res. 2015 Sep;198(1):135-42
pubmed: 26044875
Arthritis Rheumatol. 2015 Oct;67(10):2771-9
pubmed: 26331443
N Engl J Med. 2015 Dec 3;373(23):2258-69
pubmed: 26630144
J Arthroplasty. 2016 Apr;31(4):766-70
pubmed: 26689615
BMJ Open. 2016 Jan 12;6(1):e009813
pubmed: 26758264
J Arthroplasty. 2016 Jun;31(6):1170-1174
pubmed: 26777548
J Arthroplasty. 2016 Oct;31(10):2091-8
pubmed: 27062354
Am J Cardiol. 2016 Jun 15;117(12):1992-5
pubmed: 27131613
J Arthroplasty. 2016 Jul;31(7):1407-12
pubmed: 27133161
J Orthop Sci. 2016 Sep;21(5):652-7
pubmed: 27324666
J Arthroplasty. 2017 Jan;32(1):246-251
pubmed: 27480828
Clin Orthop Relat Res. 2016 Nov;474(11):2472-2481
pubmed: 27562787
Sleep Med Rev. 2017 Aug;34:70-81
pubmed: 27568340
Orthopedics. 2017 Jan 1;40(1):e1-e10
pubmed: 27648576
J Arthroplasty. 2017 Mar;32(3):719-723
pubmed: 27682005
Ann Transl Med. 2016 Oct;4(20):393
pubmed: 27867945
Kardiol Pol. 2017;75(3):213-220
pubmed: 27878804
Ochsner J. 2016 Winter;16(4):481-485
pubmed: 27999506
J Arthroplasty. 2017 May;32(5):1426-1430
pubmed: 28034481
J Arthroplasty. 2017 May;32(5):1630-1634
pubmed: 28069329
HSS J. 2017 Feb;13(1):66-74
pubmed: 28167877
J Arthroplasty. 2017 Aug;32(8):2370-2374
pubmed: 28366312
J Arthroplasty. 2017 Oct;32(10):2947-2951
pubmed: 28559194
Neurol Clin. 2017 Aug;35(3):473-485
pubmed: 28673410
J Arthroplasty. 2018 Jan;33(1):36-40
pubmed: 28844769
J Arthroplasty. 2018 Jan;33(1):235-240
pubmed: 28993080
Ther Clin Risk Manag. 2018 Apr 13;14:685-690
pubmed: 29713177