Predictive value of lower extremity color doppler ultrasonography before knee arthroplasty on a postoperative cardiovascular event
| Autor: | Harun Altinayak, Orhan Balta |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Disease 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Ultrasonography Doppler Color Arthroplasty Replacement Knee Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Medical record Retrospective cohort study Perioperative Middle Aged Osteoarthritis Knee medicine.disease Comorbidity Arthroplasty Surgery Arterial calcification Cardiovascular Diseases Heart failure Female business |
| Zdroj: | The Knee. 28:266-272 |
| ISSN: | 0968-0160 |
| DOI: | 10.1016/j.knee.2020.12.014 |
| Popis: | Background The study intended to determine the presence of lower limb arterial calcification (LLAC) in lower extremity color Doppler ultrasonography (CDUS) before primary total knee arthroplasty (TKA) and its relation with cardiovascular events (CVE) during knee arthroplasty and the postoperative period, as well as to investigate its effect on surgical risk estimation. Methods We designed this study as a retrospective cohort study. The study comprised 467 patients who met the inclusion criteria and had surgery for a primary gonarthrosis diagnosis between January 2005 and December 2015 were included. In the study group, patients with arterial calcification in the lower extremity CDUS were included; however, those reported not to have it were included in the control group. The research data were obtained from preoperative anesthesia records and patient medical records. Results 72% of the sample had preoperative cardiovascular comorbidity. There was no difference between the groups in terms of comorbidities, except for congestive heart failure (CHF) and peripheral artery disease (PAD). The groups did not differ in terms of ASA scores, either. Both pre- and post-operative CVEs, i.e., ischemic heart disease, dysrhythmia, and CHF, were statistically high in the study group. In terms of postoperative mortality, there was no statistical difference between the groups. Conclusion The study demonstrates that the presence of LLAC in CDUS is associated with increased risk of perioperative cardiovascular events (CVEs). Ultrasonographic detection of LLAC may give some idea the surgeon about the requirement for additional preoperative cardiac examinations. |
| Databáze: | OpenAIRE |
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