Mortality After Septic Versus Aseptic Revision Total Hip Arthroplasty: A Matched-Cohort Study

被引:39
作者
Choi, Ho-Rim [1 ]
Beecher, Benjamin [1 ]
Bedair, Hany [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02114 USA
关键词
total hip arthroplasty; septic revision; mortality;
D O I
10.1016/j.arth.2013.02.041
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
Mortality rates after revision total hip arthroplasty (THA) for periprosthetic sepsis were investigated in 93 patients and compared to 93 patients, matched for age, gender, year of surgery, who underwent revision for aseptic failures. The mortality rate was 33% (31/93) in the septic group and 22% (20/93) in the aseptic group at 5 and 6 year follow-up, respectively (P = 0.10). Patients in the septic group died on average 6 years earlier (74 versus 80 yrs; P < 0.05) than those in the aseptic group. Charlson Comorbidity Index (CCI) was an independent predictor of mortality among the both groups (P < 0.05), while age (P < 0.01) was a predictor of mortality only in the aseptic group. While revision THA for sepsis alone did not predict increased mortality, a 33% mortality rate at five years in patients with an average age of 66 years and earlier death by 6 years compared to aseptic revisions is alarming. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:56 / 58
页数:3
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