Deep wound infection after proximal femoral fracture: consequences and costs

The Journal of Hospital Infection
T C B PollardK M Willett

Abstract

The purpose of this study was to assess the impact of deep wound infection after surgery for proximal femoral fracture (PFF) on the patient in terms of mortality and social consequences, and on the National Health Service in terms of financial burden. Sixty-one cases of PFF over a six-year period were complicated with deep surgical wound infection. These cases were compared with a matched control group of 122 patients without infection. Infected cases had greatly increased hospital stay (P<0.001), were 4.5 times less likely to survive to discharge (P=0.002), and if they survived, were three times less likely to return to their original residence (P=0.05). The total cost of treatment per infected case was 24,410 pound sterling compared with 7210 pound sterling for controls (P<0.001). Meticillin-resistant Staphylococcus aureus (MRSA) infection increased admission length and cost compared with non-MRSA infection (P=0.02). Deep wound infection after PFF is a devastating and costly complication for both the patient and the healthcare services. The cost consequences should be considered when allocating resources to trauma services to ensure adequate provision to minimize infection risks and to accommodate treatment costs in this vuln...Continue Reading

References

Oct 1, 1992·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·T C HoranT G Emori
Nov 1, 1991·Public Health·M J Parker, J K Anand
Nov 13, 1993·BMJ : British Medical Journal·G S KeeneG A Pryor
Oct 9, 1993·BMJ : British Medical Journal·W HollingworthR Williams
Jan 1, 1996·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·W HollingworthM J Parker
Sep 16, 2000·The Journal of Bone and Joint Surgery. British Volume·S J PalmerW Hollingworth
May 11, 2002·The Journal of Bone and Joint Surgery. British Volume·G Bannister
Oct 4, 2003·BMJ : British Medical Journal·Stephen E Roberts, Michael J Goldacre
Jul 20, 2004·BMJ : British Medical Journal·Leela C BiantJeremy D Tuite
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·T HarrisonM J Parker

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Citations

Mar 16, 2011·Langenbeck's Archives of Surgery·Karolin GrafIris Freya Chaberny
Aug 12, 2009·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Marten SchulzReinier Mutters
Dec 27, 2011·Injury·P V GiannoudisM H Wilcox
May 16, 2012·BMC Infectious Diseases·Lei ZhangRui-Zhang Guo
Nov 28, 2012·AIDS Research and Therapy·Baochi LiuYanhui Si
May 6, 2014·Injury·S T J TsangL C Biant
Mar 29, 2014·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M D del ToroUNKNOWN PJIG-SAEI/REIPI group
Jun 2, 2009·The Journal of Hospital Infection·E C J BroexF H van Tiel
May 22, 2007·The Journal of Hospital Infection·I StarksP J Roberts
Aug 24, 2010·Nursing & Health Sciences·Akiko KondoBrenda K Zierler
Oct 19, 2006·International Journal of Antimicrobial Agents·I M Gould
Nov 14, 2015·Journal of Clinical Orthopaedics and Trauma·Rachel V ThakoreManish K Sethi
Jan 20, 2015·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Georg DaeschleinMichael Jünger
Nov 16, 2011·British Journal of Neurosurgery·Andrew B O'KeeffeStana Bojanic
Feb 26, 2013·The Journal of Arthroplasty·C Lowry BarnesSteven K Takemoto
May 1, 2012·Injury·Andrew D DuckworthLeela C Biant
May 11, 2016·Revista española de cirugía ortopédica y traumatología·A E González-VélezV Monge-Jodra
Sep 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jacques MerrerUNKNOWN Groupe de Recherche sur l'Antibioprophylaxie en Chirurgie
Sep 25, 2017·Journal of Orthopaedic Trauma·Martin McNallyDavid Stubbs
Jun 18, 2011·Anesthesiology·Alison M GrahamAbdelazeem A El Dawlatly
Mar 20, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Tianxiao MaZhanyong Wu
Mar 11, 2010·Journal of Wound Care·R D WolcottS E Dowd
Feb 20, 2015·The Journal of Bone and Joint Surgery. American Volume·Aaron SchindelerDavid G Little
Jan 1, 2009·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Debra JohnsonLenora M Maze
Jun 8, 2012·The Journal of Trauma and Acute Care Surgery·Benjamin JohnsonPhilip J Roberts
Aug 13, 2015·Annals of the Royal College of Surgeons of England·M D WijeratnaM J Porteous
Jun 10, 2008·The Journal of Bone and Joint Surgery. British Volume·C EdwardsC G Moran
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·T HarrisonM J Parker
Feb 22, 2017·Journal of Orthopaedic Surgery·Christian FangFrankie Leung
Dec 2, 2010·The Journal of Bone and Joint Surgery. British Volume·C ThakarK Willett
Sep 10, 2013·The Cochrane Database of Systematic Reviews·Lucieni O Conterno, Marilia D Turchi

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