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Risk Factors of Basilico et al for Cardiovascular Complications Following Total Joint Replacement Surgery

Description

Basilico et al identified risk factors for cardiovascular complications in patients undergoing total joint replacement surgery. These can help identify a patient who may benefit from more aggressive management or a change in the surgical approach. The authors are from New England Baptist Hospital and Brigham and Women's Hospital in Boston.


 

Patient selection: total joint replacement

 

Risk factors for cardiovascular complications:

(1) older age (age > 75 years)

(2) history of arrhythmias

(3) history of other cardiac disorders (heart failure, AMI, valvular disease, etc)

(4) bilateral joint replacements

(5) revision surgery

 

where:

• The adjusted odds ratios range from 1.6 to 3.5 (average 2.3).

• A history of beta-blocker use can be substituted for the history of cardiac disease)

 

The risk of a cardiovascular complications increases with the number of risk factors identified.

 


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Specialty

ICD-10