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

Abstract 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...

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Bibliographic Details
Published in:The Journal of arthroplasty 2014, Vol.29 (1), p.154-156
Main Authors: Bozic, Kevin J., MD, MBA, Ward, Derek T., MD, Lau, Edmund C., MS, Chan, Vanessa, MPH, Wetters, Nathan G., MD, Naziri, Qais, MD, Odum, Susan, PhD, Fehring, Thomas K., MD, Mont, Michael A., MD, Gioe, Terence J., MD, Della Valle, Craig J., MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - statistics & numerical data
Case-Control Studies
Child
Child, Preschool
comorbidities
Comorbidity
Female
Humans
Infant
Male
Middle Aged
Orthopedics
outcomes
periprosthetic joint infection
Prosthesis-Related Infections - epidemiology
Prosthesis-Related Infections - etiology
Risk Assessment
Risk Factors
total hip arthroplasty
United States - epidemiology
Young Adult
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Summary:Abstract 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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2013.04.015