The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study
Abstract Although urinary tract infection (UTI) is a common perioperative complication among elderly patients with hip fracture, its incidence and effects are often underestimated. This study investigated the effects of severe UTI (S-UTI) on elderly patients with hip fracture and the risk factors fo...
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Nature Portfolio
2021
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oai:doaj.org-article:7b6861257286423991b832d1961ca4682021-12-02T14:11:28ZThe incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study10.1038/s41598-021-83091-62045-2322https://doaj.org/article/7b6861257286423991b832d1961ca4682021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83091-6https://doaj.org/toc/2045-2322Abstract Although urinary tract infection (UTI) is a common perioperative complication among elderly patients with hip fracture, its incidence and effects are often underestimated. This study investigated the effects of severe UTI (S-UTI) on elderly patients with hip fracture and the risk factors for this condition. In this retrospective nationwide cohort study, we searched Taiwan’s National Health Insurance Research Database from 2000 to 2012 for data on patients aged ≥ 50 years with hip fracture who underwent open reduction and internal fixation or hemiarthroplasty for comparison with healthy controls (i.e. individuals without hip fracture). The study and comparison cohorts were matched for age, sex, and index year at a 1:4 ratio. The incidence and hazard ratios of age, sex, and multiple comorbidities associated with S-UTI were calculated using Cox proportional hazard regression models. Among the 5774 and 23,096 patients in the study and comparison cohorts, the overall incidence of S-UTI per 100 person-years was 8.5 and 5.3, respectively. The risk of S-UTI was cumulative over time and higher in the study cohort than in the comparison cohort, particularly in those who were older, were female, or had comorbidities of cerebrovascular accident or chronic renal failure.Yi-Ching LinYa-Chu HsuWen-Tien WuRu-Ping LeeJen-Hung WangHao-Wen ChenIng-Ho ChenTzai-Chiu YuCheng-Huan PengKuan-Lin LiuChung-Yi HsuKuang-Ting YehNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q |
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Medicine R Science Q Yi-Ching Lin Ya-Chu Hsu Wen-Tien Wu Ru-Ping Lee Jen-Hung Wang Hao-Wen Chen Ing-Ho Chen Tzai-Chiu Yu Cheng-Huan Peng Kuan-Lin Liu Chung-Yi Hsu Kuang-Ting Yeh The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| description |
Abstract Although urinary tract infection (UTI) is a common perioperative complication among elderly patients with hip fracture, its incidence and effects are often underestimated. This study investigated the effects of severe UTI (S-UTI) on elderly patients with hip fracture and the risk factors for this condition. In this retrospective nationwide cohort study, we searched Taiwan’s National Health Insurance Research Database from 2000 to 2012 for data on patients aged ≥ 50 years with hip fracture who underwent open reduction and internal fixation or hemiarthroplasty for comparison with healthy controls (i.e. individuals without hip fracture). The study and comparison cohorts were matched for age, sex, and index year at a 1:4 ratio. The incidence and hazard ratios of age, sex, and multiple comorbidities associated with S-UTI were calculated using Cox proportional hazard regression models. Among the 5774 and 23,096 patients in the study and comparison cohorts, the overall incidence of S-UTI per 100 person-years was 8.5 and 5.3, respectively. The risk of S-UTI was cumulative over time and higher in the study cohort than in the comparison cohort, particularly in those who were older, were female, or had comorbidities of cerebrovascular accident or chronic renal failure. |
| format |
article |
| author |
Yi-Ching Lin Ya-Chu Hsu Wen-Tien Wu Ru-Ping Lee Jen-Hung Wang Hao-Wen Chen Ing-Ho Chen Tzai-Chiu Yu Cheng-Huan Peng Kuan-Lin Liu Chung-Yi Hsu Kuang-Ting Yeh |
| author_facet |
Yi-Ching Lin Ya-Chu Hsu Wen-Tien Wu Ru-Ping Lee Jen-Hung Wang Hao-Wen Chen Ing-Ho Chen Tzai-Chiu Yu Cheng-Huan Peng Kuan-Lin Liu Chung-Yi Hsu Kuang-Ting Yeh |
| author_sort |
Yi-Ching Lin |
| title |
The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| title_short |
The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| title_full |
The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| title_fullStr |
The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| title_full_unstemmed |
The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| title_sort |
incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/7b6861257286423991b832d1961ca468 |
| work_keys_str_mv |
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