Incidence, Risk Factors, and Clinical Implications of Pneumonia After Surgery for Geriatric Hip Fracture

The Journal of Arthroplasty
Daniel D BohlCraig J Della Valle

Abstract

Little is known regarding the occurrence of pneumonia after hip fracture surgery. The purpose of this study is to determine the incidence, risk factors, and clinical implications of pneumonia after surgery for geriatric hip fracture. The American College of Surgeons National Surgical Quality Improvement Program was used to retrospectively study geriatric patients undergoing surgery for hip fracture during 2006-2014. Independent risk factors for developing pneumonia within 30 days of surgery were identified using multivariate regression. Of the 29,377 patients meeting inclusion criteria, 13,736 (46.8%) underwent hemiarthroplasty, 9468 (32.2%) intramedullary fixation, 4294 (14.6%) plate and/or screw fixation, 1299 (4.4%) total joint arthroplasty, and 580 (2.0%) percutaneous fixation. In total 1191 patients developed pneumonia, an incidence of 4.1%. The strongest risk factors for pneumonia were male sex, older age (especially ≥90 years), low body mass index, and chronic obstructive pulmonary disease. Patients who developed pneumonia had a higher readmission rate (79.1% vs 8.2%, P < .001), a higher rate of sepsis (16.6% vs 1.7%, P < .001), and a higher mortality rate (29.2% vs 5.7%, P < .001). Among 1602 total mortalities, 348 (17....Continue Reading

Citations

May 2, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ryan LeeRajeev Pandarinath
Jan 11, 2020·Journal of Korean Medical Science·Suk Yong JangWonsik Choy
Dec 23, 2020·Bone & Joint Research·Enrique GueradoJoana Pons-Palliser
Dec 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Hao-Yang WanNan Jiang
Feb 6, 2021·Journal of Clinical Medicine·Michalis PanteliPeter V Giannoudis
May 5, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Andrew M SchneiderNicholas M Brown
Jul 20, 2021·Revista española de cirugía ortopédica y traumatología·Iñigo Jiménez-TelleriaJesús Moreta

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