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Mortality After Total Hip Arthroplasty
Key Points
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Reported mortality rates vary between 0.2% and 1% in the early postoperative period (30–90 days)
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Most deaths are related to cardiopulmonary complications.
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Advanced age and comorbidities have been associated with increased risk for death.
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Patients who have had a hip replacement appear to have a lower-than-expected risk for death at 1 to 10 years following surgery compared with controls in the general population.
Introduction
Mortality is a rare but devastating complication of total hip arthroplasty (THA). These deaths are usually related to cardiopulmonary complications in the early postoperative period, but can also occur intraoperatively as a result of cement-induced emboli. The incidence of perioperative mortality may be reduced by using a team-based approach to preoperative risk assessment and performing the procedure in a high-volume hospital. Once the perioperative period has past, patients undergoing THA have been shown to have lower long-term mortality compared with controls in the general population.
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