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

被引:58
|
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
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
收藏
页码:154 / 156
页数:3
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