Mortality, patient-reported outcome measures, and the health economic burden of prosthetic joint infection

被引:27
作者
Xu, Yangqi [1 ]
Huang, Tony B. [1 ]
Schuetz, Michael A. [2 ,3 ,4 ]
Choong, Peter F. M. [1 ,5 ]
机构
[1] Univ Melbourne, Melbourne Med Sch, Dept Surg, Melbourne, Vic, Australia
[2] Queensland Hlth, Jamieson Trauma Inst, Metro North Hosp & Hlth Serv, Brisbane, Qld, Australia
[3] Royal Brisbane & Womens Hosp, Dept Orthopaed Surg, Brisbane, Qld, Australia
[4] Queensland Univ Technol QUT, Brisbane, Qld, Australia
[5] St Vincents Hosp, Dept Orthopaed, Fitzroy, Vic, Australia
关键词
prosthetic joint infection; arthroplasty; patient-reported outcome measure; health economic; TOTAL KNEE ARTHROPLASTY; QUALITY-OF-LIFE; PERIPROSTHETIC INFECTIONS; HIP; IMPACT; DEBRIDEMENT; REVISION; COST; RETENTION;
D O I
10.1530/EOR-23-0078
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
center dot Prosthetic joint infection (PJI) is one of the most devastating complications for a patient following arthroplasty. center dot This scoping review aims to evaluate the burden of PJI on individual patients and the healthcare system regarding the mortality rate, patient-reported quality of life, and healthcare resource utilisation. center dot Patients with PJI have up to a five-fold higher mortality rate than those who have undergone an uninfected primary arthroplasty. There is an increased use of ambulatory aids and reduced joint function scores in patients with PJI. Global quality of life is poorer, specifically measured by the EQ-5D. Direct hospitalisation costs are two-to five-fold higher, attributed to surgery and prostheses, antibiotics, and a prolonged inpatient stay. center dot There is an immense clinical and health economic burden secondary to PJI worldwide. This is expected to rise exponentially due to the increasing number of primary procedures and an ageing population with comorbidities center dot Improving preventative and treatment strategies is imperative for patients and the healthcare system.
引用
收藏
页码:690 / 697
页数:8
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