Mortality During Total Hip Periprosthetic Joint Infection

We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. One-year weighted mortality rate was 4.22% after t...

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Bibliographic Details
Published in:The Journal of arthroplasty Vol. 34; no. 7; pp. S337 - S342
Main Authors: Natsuhara, Kyle M., Shelton, Trevor J., Meehan, John P., Lum, Zachary C.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.07.2019
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ISSN:0883-5403, 1532-8406, 1532-8406
Online Access:Get full text
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Summary:We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. One-year weighted mortality rate was 4.22% after total hip PJI. Five-year mortality was 21.12%. Average age was 65 years. When comparing the national age-adjusted risk of mortality and the reported 1-year mortality risk in this systematic review, the risk of death after total hip PJI is significantly increased (odds ratio 3.58, P < .001). The mortality rate during total hip revision for infection is high. When counseling a patient regarding complications of this disease, death should be discussed.
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ISSN:0883-5403
1532-8406
1532-8406
DOI:10.1016/j.arth.2018.12.024