{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:05:19Z","timestamp":1775639119478,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: Mortality is a devastating complication after primary total hip arthroplasty (THA). The aim of this study was to investigate the prevalence and risk factors associated with 1-year postoperative mortality in patients undergoing primary THA.\r\nMethods: The authors reviewed the e-health database (e-Nab\u0131z) of the Republic of Tu\u0308rkiye Ministry of Health to identify patients who underwent primary THA between January 2016 and June 2022. The study included 98 622 patients with a mean age of 59.9 \u00c5} 13.6 years. Hip fractures were excluded. Demographic data, body mass index, and Charlson Comorbidity Index scores were recorded. The incidence of 1-year mortality was investigated. A multivariate Cox regression model was created to identify risk factors for 1-year postoperative mortality.\r\nResults: The postoperative 1-year mortality of patients who underwent primary THA was 2.8%. Cox regression analysis revealed that male gender and advanced age were independent risk factors for 1-year mortality and the risk of 1-year mortality increased with comorbidities such as cancer (hazard ratio (HR) = 2.46; 95% CI = 2.21-2.71), renal disease (HR = 2.29; 95% CI = 2.1-2.5), dementia (HR = 1.83; 95% CI = 1.63- 2.05), liver disease (HR = 1.69; 95% CI = 1.25-2.27), heart failure (HR = 1.65; 95% CI = 1.49-1.83), cerebrovascular accident (CVA) (HR = 1.43; 95% CI = 1.3-1.57), and acute myocardial infarction (AMI) (HR = 1.25; 95% CI = 1.07-1.45).\r\nConclusion: Advanced age, male gender, cancer, renal disease, dementia, liver disease, heart failure, CVA, and AMI were identified as risk factors for 1-year mortality in patients undergoing THA. Meticulous preoperative medical optimization and standardized postoperative care may reduce mortality among patients with these comorbidities.\r\n\u00a0\r\nCite this article as: Artu\u00e7 M, Birinci M, Hakyemez \u00d6S, et al. Perioperative risk factor analysis for mortality in patients undergoing total hip arthroplasty: A national database study from Tu\u0308rkiye. Acta Orthop Traumatol Turc., 2026; 60(2), 0052, doi:10.5152\/j.aott.2026.24052.<\/jats:p>","DOI":"10.5152\/j.aott.2026.24052","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:26:06Z","timestamp":1775636766000},"source":"Crossref","is-referenced-by-count":0,"title":["Perioperative risk factor analysis for mortality in patients undergoing total hip arthroplasty: A national database study from T\u00fcrkiye"],"prefix":"10.5152","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8101-0718","authenticated-orcid":false,"given":"Merdan","family":"Artu\u00e7","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6268-9910","authenticated-orcid":false,"given":"Murat","family":"Birinci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1448-2656","authenticated-orcid":false,"given":"\u00d6mer Serdar","family":"Hakyemez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0097-3905","authenticated-orcid":false,"given":"\u0130zzet","family":"Bing\u00f6l","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6947-2821","authenticated-orcid":false,"given":"Naim","family":"Ata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0825-1851","authenticated-orcid":false,"given":"M. Mahir","family":"\u00dclg\u00fc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8104-6198","authenticated-orcid":false,"given":"\u015euayip","family":"Birinci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7526-6071","authenticated-orcid":false,"given":"Cemil","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5778-692X","authenticated-orcid":false,"given":"\u0130brahim","family":"Tuncay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0926-3029","authenticated-orcid":false,"given":"\u0130brahim","family":"Azboy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2026,3,26]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/4119\/4071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/4119\/4071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:26:06Z","timestamp":1775636766000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/view\/4119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,26]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,3,4]]}},"URL":"https:\/\/doi.org\/10.5152\/j.aott.2026.24052","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,26]]}}}