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Mortality After Septic Versus Aseptic Revision Total Hip Arthroplasty: A Matched-Cohort Study.
MedLine Citation:
PMID:  23937921     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Mortality rates after revision total hip arthroplasty (THA) for periprosthetic sepsis were investigated in 93 patients and compared to 93 patients, matched for age, gender, year of surgery, who underwent revision for aseptic failures. The mortality rate was 33% (31/93) in the septic group and 22% (20/93) in the aseptic group at 5 and 6year follow-up, respectively (P=0.10). Patients in the septic group died on average 6years earlier (74 versus 80yrs; P<0.05) than those in the aseptic group. Charlson Comorbidity Index (CCI) was an independent predictor of mortality among the both groups (P<0.05), while age (P<0.01) was a predictor of mortality only in the aseptic group. While revision THA for sepsis alone did not predict increased mortality, a 33% mortality rate at five years in patients with an average age of 66years and earlier death by 6years compared to aseptic revisions is alarming.
Authors:
Ho-Rim Choi; Benjamin Beecher; Hany Bedair
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-9
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  -     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-8-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, Massachusetts.
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