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• W4205793654 abstract "BACKGROUND: There is a paucity of perioperative outcomes data for patients with chronic pulmonary hypertension (PHTN) undergoing noncardiac surgery. Clinicians, therefore, have little information on which to evaluate the risk for morbidity and mortality in this patient population. In this study, we evaluated the incidence and risks of perioperative morbidity and mortality in patients with PHTN undergoing primary total hip arthroplasty (THA) and total knee arthroplasty (TKA).METHODS: Using the largest inpatient database in the United States (National Inpatient Sample), we identified entries for THA and TKA between the years of 1998 and 2006. Patients with the diagnosis of PHTN were identified and matched to those without the disease based on health-related demographic variables. Perioperative mortality was considered the primary outcome. Multivariate logistic regression models were fitted to assess the impact of PHTN on in-hospital mortality.RESULTS: We identified 670,516 entries for TKA and 360,119 for THA. Of those patients, 2184 (0.3%) and 1359 (0.4%), respectively, had the diagnosis of PHTN (average annual rate of 1180 for TKA [range, 507-2073] and 739 for THA [range, 467-1054]). Patients with PHTN undergoing THA experienced an approximately 4-fold increased adjusted risk of mortality (2.4% vs 0.6%), and those undergoing TKA a 4.5-fold increased adjusted risk of mortality (0.9% vs 0.2%) compared with patients without PHTN in the matched sample (P < 0.001 for each comparison). Patients with primary PHTN undergoing THA experienced the highest mortality rate (5% [95% CI, 2.3%-7.7%]).CONCLUSIONS: This analysis demonstrates that patients with PHTN are at increased risk for perioperative mortality after THA and TKA. PMID: 20841415 Funding information This work was supported by: NCRR NIH HHS, United States Grant ID: UL1-RR024996 AHRQ HHS, United States Grant ID: RFA-HS-05-14" @default.
• W4205793654 created "2022-01-26" @default.
• W4205793654 creator A5085899378 @default.
• W4205793654 date "2011-01-17" @default.
• W4205793654 modified "2023-09-27" @default.
• W4205793654 title "Faculty Opinions recommendation of Perioperative mortality in patients with pulmonary hypertension undergoing major joint replacement." @default.
• W4205793654 doi "https://doi.org/10.3410/f.7835956.8176054" @default.
• W4205793654 hasPublicationYear "2011" @default.
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