Risk Factors for Periprosthetic Joint Infection Following Primary Total Hip Arthroplasty: A Case Control Study

被引：61

作者：

Bozic, Kevin J. ^{[1
,2
]}

Ward, Derek T. ^{[1
]}

Lau, Edmund C. ^{[3
]}

Chan, Vanessa ^{[1
,2
]}

Wetters, Nathan G. ^{[4
]}

Naziri, Qais ^{[5
]}

Odum, Susan ^{[6
]}

Fehring, Thomas K. ^{[7
]}

Mont, Michael A. ^{[5
]}

Gioe, Terence J. ^{[8
]}

Della Valle, Craig J. ^{[4
]}

机构：

[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA USA

[2] Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USA

[3] Exponent Inc, Menlo Pk, CA USA

[4] Rush Univ, Dept Orthopaed Surg, Med Ctr, Chicago, IL 60612 USA

[5] Sinai Hosp, Rubin Inst Adv Orthopaed, Baltimore, MD 21215 USA

[6] OrthoCarolina Res Inst Inc, Charlotte, NC USA

[7] OrthoCarolina Hip & Knee Ctr, Charlotte, NC USA

[8] Minneapolis VA Med Ctr, Dept Orthopaed Surg, Minneapolis, MN USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期

关键词：

total hip arthroplasty; periprosthetic joint infection; comorbidities; outcomes; KNEE ARTHROPLASTY; UNITED-STATES; OBESITY; REPLACEMENT; BURDEN; IMPACT;

D O I：

10.1016/j.arth.2013.04.015

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：

The purpose of this study was to identify the specific comorbidities and demographic factors that are independently associated with an increased risk of periprosthetic joint infection (PJI) in total hip arthroplasty (THA) patients. A case-control study design was used to compare 88 patients who underwent unilateral primary THA and developed PJI with 499 unilateral primary THA patients who did not develop PJI. The impact of 18 comorbid conditions and other demographic factors on PJI was examined. Depression, obesity, cardiac arrhythmia, and male gender were found to be independently associated with an increased risk of PJI in THA patients. This information is important to consider when counseling patients on the risks associated with elective THA, and for risk-adjusting publicly reported THA outcomes. (C) 2014 Elsevier Inc. All rights reserved,

引用

页码：154 / 156

页数：3

共 19 条

[1] Obesity in total hip replacement [J].

Andrew, J. G. ;

Palan, J. ;

Kurup, H. V. ;

Gibson, P. ;

Murray, D. W. ;

Beard, D. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (04) :424-429

[2] Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements - Factors affecting survivorship of acetabular and femoral components [J].

Berry, DJ ;

Harmsen, WS ;

Cabanela, ME ;

Morrey, BF .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (02) :171-177

[3] Patient-Related Risk Factors for Periprosthetic Joint Infection and Postoperative Mortality Following Total Hip Arthroplasty in Medicare Patients [J].

Bozic, Kevin J. ;

Lau, Edmund ;

Kurtz, Steven ;

Ong, Kevin ;

Rubash, Harry ;

Vail, Thomas P. ;

Berry, Daniel J. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (09) :794-800

[4] Health State Utility in Patients with Osteoarthritis of the Hip and Total Hip Arthroplasty [J].

Bozic, Kevin J. ;

Chiu, Vanessa W. ;

Slover, James D. ;

Immerman, Igor ;

Kahn, James G. .

JOURNAL OF ARTHROPLASTY, 2011, 26 (06) :129-132

[5] The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization [J].

Bozic, KJ ;

Ries, MD .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (08) :1746-1751

[6] Obesity is a major risk factor for prosthetic infection after primary hip arthroplasty [J].

Dowsey, Michelle M. ;

Choong, Peter F. M. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (01) :153-158

[7] Infection burden for hip and knee arthroplasty in the United States [J].

Kurtz, Steven M. ;

Lau, Edmund ;

Schmier, Jordana ;

Ong, Kevin L. ;

Zhao, Ke ;

Parvizi, Javad .

JOURNAL OF ARTHROPLASTY, 2008, 23 (07) :984-991

[8] Future clinical and economic impact of revision total hip and knee arthroplasty [J].

Kurtz, Steven M. ;

Ong, Kevin L. ;

Schmier, Jordana ;

Mowat, Fionna ;

Saleh, Khaled ;

Dybvik, Eva ;

Kaerrholm, Johan ;

Garellick, Goeran ;

Havelin, Leif I. ;

Furnes, Ove ;

Malchau, Henrik ;

Lau, Edmund .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A :144-151

[9] Economic Burden of Periprosthetic Joint Infection in the United States [J].

Kurtz, Steven M. ;

Lau, Edmund ;

Watson, Heather ;

Schmier, Jordana K. ;

Parvizi, Javad .

JOURNAL OF ARTHROPLASTY, 2012, 27 (08) :61-65

[10] Future Young Patient Demand for Primary and Revision Joint Replacement: National Projections from 2010 to 2030 [J].

Kurtz, Steven M. ;

Lau, Edmund ;

Ong, Kevin ;

Zhao, Ke ;

Kelly, Michael ;

Bozic, Kevin J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2009, 467 (10) :2606-2612

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