Ten-year mortality risk predictors after primary total knee arthroplasty for osteoarthritis

Verfasser / Beitragende:
[Alejandro Lizaur-Utrilla, Santiago Gonzalez-Parreño, Francisco Miralles-Muñoz, Fernando Lopez-Prats]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1848-1855
Format:
Artikel (online)
ID: 605456402
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024 7 0 |a 10.1007/s00167-015-3502-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3502-2 
245 0 0 |a Ten-year mortality risk predictors after primary total knee arthroplasty for osteoarthritis  |h [Elektronische Daten]  |c [Alejandro Lizaur-Utrilla, Santiago Gonzalez-Parreño, Francisco Miralles-Muñoz, Fernando Lopez-Prats] 
520 3 |a Purpose: To determine predictors of mortality up to 10 post-operative years. Methods: A cohort of 1,569 consecutive patients who underwent primary cementless total knee arthroplasty (TKA) for osteoarthritis was prospectively evaluated. Patient mortality was compared to the general population using standardized mortality ratios (SMR). The effects on patient mortality and surgical data, as well as post-operative outcomes, were analysed using Cox regression analysis. Results: The 10-year survival was 88.9% in females and 73.4% in males (p=0.001). The SMR were higher for females under 50years (213.1%) and for males over 70years (170.5%). Aged 70 or older and male gender were predictive for mortality in any post-operative time. Lengthening of the follow-up time showed different patterns of other risk mortality factors. Within 8years, high Charlson index, poorer post-operative clinical status, and quality of life were also associated with an increased mortality risk, and obesity was protective factor. However, 10-year mortality was only associated with age, female gender, post-operative walking disability, and increasing post-operative WOMAC pain score. Conclusion: In this study, patient-related factors that can help identify patients at risk were only age and gender, while recovery of walking ability, WOMAC pain, and SF-12 mental component were important survival factors among post-operative factors. This study identified important patient-related predictors of mortality after TKA, which may be useful in order to inform the patients of the potential risks. Level of evidence: IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Mortality  |2 nationallicence 
690 7 |a Risk factors  |2 nationallicence 
690 7 |a Patient-related predictors  |2 nationallicence 
700 1 |a Lizaur-Utrilla  |D Alejandro  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
700 1 |a Gonzalez-Parreño  |D Santiago  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
700 1 |a Miralles-Muñoz  |D Francisco  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
700 1 |a Lopez-Prats  |D Fernando  |u Department of Orthopaedic Surgery, Faculty of Medicine, Miguel Hernandez University, Elche, Alicante, Spain  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1848-1855  |x 0942-2056  |q 23:6<1848  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3502-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3502-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lizaur-Utrilla  |D Alejandro  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gonzalez-Parreño  |D Santiago  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miralles-Muñoz  |D Francisco  |u Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lopez-Prats  |D Fernando  |u Department of Orthopaedic Surgery, Faculty of Medicine, Miguel Hernandez University, Elche, Alicante, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1848-1855  |x 0942-2056  |q 23:6<1848  |1 2015  |2 23  |o 167