Related Experiment Video

Updated: Jan 30, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

12.4K

Incidence and Risk Factors for Stroke in Fast-Track Hip and Knee Arthroplasty-A Clinical Registry Study of 24,862

Pelle B Petersen1, Henrik Kehlet2, Christoffer C Jørgensen2

  • 1Section for Surgical Pathophysiology, University of Copenhagen, Copenhagen, Denmark.

The Journal of Arthroplasty
|January 23, 2019
PubMed

Insights

Postoperative stroke risk after fast-track hip or knee replacement is low. Focusing on avoiding perioperative cardiovascular events and managing preoperative anticoagulants or anemia may further reduce stroke incidence.

Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Public Health

Background:

  • Postoperative stroke is a severe complication following total hip (THA) and knee arthroplasty (TKA).
  • Previous data relied on diagnostic codes, lacking details on perioperative care and fast-track protocols.
  • The incidence of stroke after fast-track THA/TKA requires further investigation.

Purpose of the Study:

  • To investigate the incidence of stroke after fast-track THA/TKA.
  • To identify preoperative and postoperative factors associated with stroke risk.
  • To compare stroke incidence with the general population.

Main Methods:

  • Observational study of elective fast-track THA/TKA patients.
  • Prospective collection of comorbidity data and 90-day follow-up.
  • Multivariable logistic regression for risk factor identification and comparison with Danish background population.

Main Results:

  • Stroke incidence was 0.11% (≤30 days) and 0.17% (≤90 days) in 24,862 procedures.
  • Preoperative risk factors for stroke ≤30 days included age ≥ 85 years and anticoagulant treatment.
  • Preoperative anemia was a near-significant risk factor; eight strokes were preceded by early postoperative cardiovascular events.

Conclusions:

  • The risk of postoperative stroke in fast-track THA and TKA is low.
  • Increased focus on avoiding perioperative cardiovascular events can further reduce stroke risk.
  • Patients with preoperative anticoagulants or anemia may benefit from closer monitoring.
Abstract

Keywords:
arthroplastycomplicationperioperativepostoperativestroke

More Related Videos

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

3.9K
Fundus Photography as a Convenient Tool to Study Microvascular Responses to Cardiovascular Disease Risk Factors in Epidemiological Studies10:11

Fundus Photography as a Convenient Tool to Study Microvascular Responses to Cardiovascular Disease Risk Factors in Epidemiological Studies

Published on: October 22, 2014

19.7K

Related Concept Videos

Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.5K
Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.8K
Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
3.2K
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
341
Relative Risk01:12

Relative Risk

Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.1K
Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K