دورية أكاديمية
أعرض في EDS

Risk factors for prosthetic joint infections after hemiarthroplasty of the hip following a femoral neck fracture.

التفاصيل البيبلوغرافية
العنوان: Risk factors for prosthetic joint infections after hemiarthroplasty of the hip following a femoral neck fracture.
المؤلفون: de Haan E; Surgery Department, Maasstad Hospital, 3007 AC Rotterdam, the Netherlands; Surgery Department, Franciscus Gasthuis en Vlietland, 3045 PM Rotterdam, the Netherlands. Electronic address: e.eveline.de.haan@gmail.com., Roukema GR; Surgery Department, Maasstad Hospital, 3007 AC Rotterdam, the Netherlands., van Rijckevorsel VAJIM; Surgery Department, Maasstad Hospital, 3007 AC Rotterdam, the Netherlands., Kuijper TM; Maasstad Academy, Maasstad Hospital, 3079 DZ Rotterdam, the Netherlands., Jong L; Surgery Department, Maasstad Hospital, 3007 AC Rotterdam, the Netherlands.
مؤلفون مشاركون: Author collaborator group Dutch Hip Fracture Registry Collaboration (DHFR)
المصدر: Injury [Injury] 2024 Feb; Vol. 55 (2), pp. 111195. Date of Electronic Publication: 2023 Nov 10.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0226040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0267 (Electronic) Linking ISSN: 00201383 NLM ISO Abbreviation: Injury Subsets: MEDLINE
أسماء مطبوعة: Publication: <2002->: Amsterdam : Elsevier
Original Publication: Bristol, Wright.
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip*/adverse effects , Hemiarthroplasty*/adverse effects , Prosthesis-Related Infections*/epidemiology, Humans ; Diabetes Mellitus ; Femoral Neck Fractures/surgery ; Hematoma/etiology ; Hemoglobins ; Retrospective Studies ; Risk Factors ; Treatment Outcome
مستخلص: Purpose: The primary aim of this study was to identify risk factors and validate earlier reported risk factors for Prosthetic Joint Infection (PJI) after hemiarthroplasty. The secondary aim was to assess peri‑operative clinical outcomes, adverse events and mortality rates in PJI patients after hemiarthroplasty.
Methods: A prospective hip fracture database was used to obtain data for this observational cohort study. Patients who underwent hemiarthroplasty between 2011 and 2021 were included. A PJI was diagnosed by the Musculoskeletal Infection Society criteria. Univariable and multivariable analyses were performed to identify factors highly associated with a PJI.
Results: In total, 2044 patients were analysed of which 72 patients (3.5 %) developed PJI. The multivariable analysis showed that Body Mass Index (BMI) >30 (OR2.84, P = 0.020), operating time of <45 min (OR=2.80, P = 0.002), occurrence of haematoma (OR=6.24, P<0.001), decreasing level of hemoglobin (OR=1.62, P = 0.001) and re-operation for luxation (OR=9.25, P<0.001) were significant independent prognostic risk factors for development of PJI after hemiarthroplasty. Diabetes Mellitus (OR=0.34, P = 0.018) and >20 hemiarthroplasties performed by the surgeon in the previous year (OR=0.33, P = 0.019) were prognostic protective factors. In patients with PJI, 40 % (n = 29) died within one year after surgery, compared with 27 % (n = 538) in patients without PJI (OR=1.80, P = 0.017).
Conclusion: Independent significant prognostic factors highly associated with PJI after hemiarthroplasty were BMI >30, operating time of <45, decreasing level of hemoglobin, occurrence of haematoma and re-operation for luxation. Diabetes Mellitus and >20 hemiarthroplasties performed by the surgeon in the previous year were prognostic protective factors for the development of PJI. PJI was associated with significantly higher 1-year all-cause mortality.
Competing Interests: Declaration of competing interest No conflict of interest or competing interests to declare.
(Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Clinical outcomes; Hemiarthroplasty; Hip fracture; Prosthetic joint infection; Risk factors
المشرفين على المادة: 0 (Hemoglobins)
تواريخ الأحداث: Date Created: 20231201 Date Completed: 20240206 Latest Revision: 20240206
رمز التحديث: 20240206
DOI: 10.1016/j.injury.2023.111195
PMID: 38039635
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-0267
DOI:10.1016/j.injury.2023.111195