A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty
Rates of revision surgery due to deep infection following total hip arthroplasty (THA) increased at a Norwegian hospital following implementation of fast-track procedures. The purpose of this study was to determine whether selected demographic (age and sex) and clinical (body mass index, American So...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/7901953 |
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| _version_ | 1832563605232418816 |
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| author | Einar Amlie Anners Lerdal Caryl L. Gay Øystein Høvik Lars Nordsletten Sigbjørn Dimmen |
| author_facet | Einar Amlie Anners Lerdal Caryl L. Gay Øystein Høvik Lars Nordsletten Sigbjørn Dimmen |
| author_sort | Einar Amlie |
| collection | DOAJ |
| description | Rates of revision surgery due to deep infection following total hip arthroplasty (THA) increased at a Norwegian hospital following implementation of fast-track procedures. The purpose of this study was to determine whether selected demographic (age and sex) and clinical (body mass index, American Society of Anesthesiologists (ASA) classification, surgery duration, length of hospital stay, cemented versus uncemented prosthesis, and fast-track procedures) factors were associated with higher risk of revision surgery due to deep infection following THA. In a prospective designed study 4,406 patients undergoing primary THA between January 2001 and January 2013 where included. Rates of infection-related revision surgery within 3 months of THA were higher among males and among patients who received fast-track THA. Adjusting for sex and age, the implemented fast-track elements were significantly associated with increased risk of revision surgery. Risk of infection-related revision surgery was unrelated to body mass index, physical status, surgery duration, length of hospital stay, and prosthesis type. Because local infiltration analgesia, drain cessation, and early mobilization were introduced in combination, it could not be determined which component or combination of components imposed the increased risk. The findings in this small sample raise concern about fast-track THA but require replication in other samples. |
| format | Article |
| id | doaj-art-f1527be720194534a55d2411f1e4184e |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-f1527be720194534a55d2411f1e4184e2025-02-03T01:13:09ZengWileyAdvances in Orthopedics2090-34642090-34722016-01-01201610.1155/2016/79019537901953A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip ArthroplastyEinar Amlie0Anners Lerdal1Caryl L. Gay2Øystein Høvik3Lars Nordsletten4Sigbjørn Dimmen5Orthopedic Research Group, Lovisenberg Diakonale Hospital, Nydalen, P.O. Box 4970, 0440 Oslo, NorwayOrthopedic Research Group, Lovisenberg Diakonale Hospital, Nydalen, P.O. Box 4970, 0440 Oslo, NorwayOrthopedic Research Group, Lovisenberg Diakonale Hospital, Nydalen, P.O. Box 4970, 0440 Oslo, NorwayOrthopedic Research Group, Lovisenberg Diakonale Hospital, Nydalen, P.O. Box 4970, 0440 Oslo, NorwayInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Nydalen, P.O. Box 4956, 0450 Oslo, NorwayOrthopedic Research Group, Lovisenberg Diakonale Hospital, Nydalen, P.O. Box 4970, 0440 Oslo, NorwayRates of revision surgery due to deep infection following total hip arthroplasty (THA) increased at a Norwegian hospital following implementation of fast-track procedures. The purpose of this study was to determine whether selected demographic (age and sex) and clinical (body mass index, American Society of Anesthesiologists (ASA) classification, surgery duration, length of hospital stay, cemented versus uncemented prosthesis, and fast-track procedures) factors were associated with higher risk of revision surgery due to deep infection following THA. In a prospective designed study 4,406 patients undergoing primary THA between January 2001 and January 2013 where included. Rates of infection-related revision surgery within 3 months of THA were higher among males and among patients who received fast-track THA. Adjusting for sex and age, the implemented fast-track elements were significantly associated with increased risk of revision surgery. Risk of infection-related revision surgery was unrelated to body mass index, physical status, surgery duration, length of hospital stay, and prosthesis type. Because local infiltration analgesia, drain cessation, and early mobilization were introduced in combination, it could not be determined which component or combination of components imposed the increased risk. The findings in this small sample raise concern about fast-track THA but require replication in other samples.http://dx.doi.org/10.1155/2016/7901953 |
| spellingShingle | Einar Amlie Anners Lerdal Caryl L. Gay Øystein Høvik Lars Nordsletten Sigbjørn Dimmen A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty Advances in Orthopedics |
| title | A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty |
| title_full | A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty |
| title_fullStr | A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty |
| title_full_unstemmed | A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty |
| title_short | A Trend for Increased Risk of Revision Surgery due to Deep Infection following Fast-Track Hip Arthroplasty |
| title_sort | trend for increased risk of revision surgery due to deep infection following fast track hip arthroplasty |
| url | http://dx.doi.org/10.1155/2016/7901953 |
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