Development of a simple clinical score to estimate in-hospital adverse event risk after elective hip arthroplasty: a retrospective cohort study in a high-risk population

Patients undergoing total hip arthroplasty (THA) in tertiary centres often present with complex comorbidities that increase the risk of perioperative adverse events (AE). While fast-track and outpatient protocols are expanding, reliable risk stratification tools tailored to high-risk European popula...

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Main Authors: Wolf, Matthias (Author) , Papathanakis, Dominik (Author) , Trefzer, Raphael (Author) , Merle, Christian (Author) , Walker, Tilman (Author) , Deisenhofer, Julian (Author)
Format: Article (Journal)
Language:English
Published: 18 November 2025
In: Archives of orthopaedic and trauma surgery
Year: 2025, Volume: 145, Pages: 1-12
ISSN:1434-3916
DOI:10.1007/s00402-025-06128-9
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00402-025-06128-9
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Author Notes:Matthias Wolf, Dominik Papathanakis, Raphael Trefzer, Christian Merle, Tilman Walker, Julian Deisenhofer
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Summary:Patients undergoing total hip arthroplasty (THA) in tertiary centres often present with complex comorbidities that increase the risk of perioperative adverse events (AE). While fast-track and outpatient protocols are expanding, reliable risk stratification tools tailored to high-risk European populations remain limited. This study aimed to (1) compare comorbidity burden in a high-risk population to national data, (2) determine incidence and risk factors for in-hospital AE and (3) develop a simple, pragmatic score to identify patients at elevated AE risk.
Item Description:Gesehen am 16.02.2026
Physical Description:Online Resource
ISSN:1434-3916
DOI:10.1007/s00402-025-06128-9