Mortality During Total Hip Periprosthetic Joint Infection

Kyle M. Natsuhara; Trevor J. Shelton; John Meehan; Zachary C. Lum

doi:10.1016/j.arth.2018.12.024

Mortality During Total Hip Periprosthetic Joint Infection

Kyle M. Natsuhara, Trevor J. Shelton, John Meehan, Zachary C. Lum

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

Background: We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Methods: Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. Results: 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). Conclusion: The mortality rate during total hip revision for infection is high. When counseling a patient regarding complications of this disease, death should be discussed.

Original language	English (US)
Journal	Journal of Arthroplasty
DOIs	https://doi.org/10.1016/j.arth.2018.12.024
State	Accepted/In press - Jan 1 2019

Keywords

2-stage revision arthroplasty
mortality after total hip arthroplasty periprosthetic joint infection
periprosthetic joint infection
prosthetic joint infection
total hip arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

Access to Document

10.1016/j.arth.2018.12.024

Cite this

@article{cdb6d8ae735c448c9e4f64031f7c179d,

title = "Mortality During Total Hip Periprosthetic Joint Infection",

abstract = "Background: We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Methods: Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. Results: 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). Conclusion: The mortality rate during total hip revision for infection is high. When counseling a patient regarding complications of this disease, death should be discussed.",

keywords = "2-stage revision arthroplasty, mortality after total hip arthroplasty periprosthetic joint infection, periprosthetic joint infection, prosthetic joint infection, total hip arthroplasty",

author = "Natsuhara, {Kyle M.} and Shelton, {Trevor J.} and John Meehan and Lum, {Zachary C.}",

year = "2019",

month = jan,

day = "1",

doi = "10.1016/j.arth.2018.12.024",

language = "English (US)",

journal = "Journal of Arthroplasty",

issn = "0883-5403",

publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - Mortality During Total Hip Periprosthetic Joint Infection

AU - Natsuhara, Kyle M.

AU - Shelton, Trevor J.

AU - Meehan, John

AU - Lum, Zachary C.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Methods: Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. Results: 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). Conclusion: The mortality rate during total hip revision for infection is high. When counseling a patient regarding complications of this disease, death should be discussed.

AB - Background: We sought to understand the mortality rate of periprosthetic joint infection (PJI) of the hip undergoing 2-stage revision for infection. Methods: Database search, yielding 23 relevant studies, totaled 19,169 patients who underwent revision for total hip PJI. Results: 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). Conclusion: The mortality rate during total hip revision for infection is high. When counseling a patient regarding complications of this disease, death should be discussed.

KW - 2-stage revision arthroplasty

KW - mortality after total hip arthroplasty periprosthetic joint infection

KW - periprosthetic joint infection

KW - prosthetic joint infection

KW - total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=85059778083&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059778083&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2018.12.024

DO - 10.1016/j.arth.2018.12.024

M3 - Article

C2 - 30642705

AN - SCOPUS:85059778083

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

ER -

Mortality During Total Hip Periprosthetic Joint Infection

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this