Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection

The aim of the study was to identify independent factors influencing the risk of death in patients with PJI after revision THA. Materials and methods The study included 51 lethal outcomes in patients with chronic PJI of the hip. Results and discussion In our cohort of 434 patients, 13 (2.99 %) pati...

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Autores principales:	Vasilii A. Artyukh, Svetlana A. Bozhkova, Rashid M. Tikhilov, Anatoly V. Yarmilko, Yulia V. Muravyova
Formato:	article
Lenguaje:	EN RU
Publicado:	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021
Materias:	periprosthetic joint infection arthroplasty hip joint death exitus letalis Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/6f891bd68c054c62bb145680b120bdc2
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spelling	oai:doaj.org-article:6f891bd68c054c62bb145680b120bdc22021-11-15T09:58:16ZRisk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection10.18019/1028-4427-2021-27-5-555-5611028-44272542-131Xhttps://doaj.org/article/6f891bd68c054c62bb145680b120bdc22021-10-01T00:00:00Zhttps://doaj.org/toc/1028-4427https://doaj.org/toc/2542-131XThe aim of the study was to identify independent factors influencing the risk of death in patients with PJI after revision THA. Materials and methods The study included 51 lethal outcomes in patients with chronic PJI of the hip. Results and discussion In our cohort of 434 patients, 13 (2.99 %) patients died within the first year after surgery (p > 0.05), which is 2.2 times less than similar published data. The result of gender analysis showed no statistically significant differences in the risk of death between men and women (OR1.05 CI 0.59–1.89, p = 0.87). It was found that in patients over 70 years old, the risk of death was significantly higher (OR 2.05 CI 1.09–3.87, p = 0.031). Additional independent risk factors of death are diseases of the cardiovascular system. It was not possible to find a statistically significant effect of the nature of infection on the risk of death: no growth (OR 2.23, CI 0.52–9.61), monomicrobial infection (OR 1.98, CI 0.45–8, 73), polymicrobial infection (OR 3.2, CI 0.71–14.45, p > 0.05). Conclusion The mortality rate during the first year after revision THA in patients with PJI was 2.99 %, which is lower than the results of other researchers. In the next 2–3 years, the rate of death increases 3.9 times. The main independent risk factors are the age of patients and concomitant diseases of the cardiovascular system.Vasilii A. ArtyukhSvetlana A. BozhkovaRashid M. TikhilovAnatoly V. YarmilkoYulia V. MuravyovaRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedicsarticleperiprosthetic joint infectionarthroplastyhip jointdeathexitus letalisOrthopedic surgeryRD701-811ENRUГений oртопедии, Vol 27, Iss 5, Pp 555-561 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	periprosthetic joint infection arthroplasty hip joint death exitus letalis Orthopedic surgery RD701-811
spellingShingle	periprosthetic joint infection arthroplasty hip joint death exitus letalis Orthopedic surgery RD701-811 Vasilii A. Artyukh Svetlana A. Bozhkova Rashid M. Tikhilov Anatoly V. Yarmilko Yulia V. Muravyova Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
description	The aim of the study was to identify independent factors influencing the risk of death in patients with PJI after revision THA. Materials and methods The study included 51 lethal outcomes in patients with chronic PJI of the hip. Results and discussion In our cohort of 434 patients, 13 (2.99 %) patients died within the first year after surgery (p > 0.05), which is 2.2 times less than similar published data. The result of gender analysis showed no statistically significant differences in the risk of death between men and women (OR1.05 CI 0.59–1.89, p = 0.87). It was found that in patients over 70 years old, the risk of death was significantly higher (OR 2.05 CI 1.09–3.87, p = 0.031). Additional independent risk factors of death are diseases of the cardiovascular system. It was not possible to find a statistically significant effect of the nature of infection on the risk of death: no growth (OR 2.23, CI 0.52–9.61), monomicrobial infection (OR 1.98, CI 0.45–8, 73), polymicrobial infection (OR 3.2, CI 0.71–14.45, p > 0.05). Conclusion The mortality rate during the first year after revision THA in patients with PJI was 2.99 %, which is lower than the results of other researchers. In the next 2–3 years, the rate of death increases 3.9 times. The main independent risk factors are the age of patients and concomitant diseases of the cardiovascular system.
format	article
author	Vasilii A. Artyukh Svetlana A. Bozhkova Rashid M. Tikhilov Anatoly V. Yarmilko Yulia V. Muravyova
author_facet	Vasilii A. Artyukh Svetlana A. Bozhkova Rashid M. Tikhilov Anatoly V. Yarmilko Yulia V. Muravyova
author_sort	Vasilii A. Artyukh
title	Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
title_short	Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
title_full	Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
title_fullStr	Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
title_full_unstemmed	Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
title_sort	risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection
publisher	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
publishDate	2021
url	https://doaj.org/article/6f891bd68c054c62bb145680b120bdc2
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Risk factors for lethal outcomes after surgical treatment of patients with chronic periprosthetic hip joint infection

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