Prosthetic-joint Infections: Mortality Over The Last 10 Years.

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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_49D6C2AE3CDF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prosthetic-joint Infections: Mortality Over The Last 10 Years.
Journal
Journal of bone and joint infection
Author(s)
Fischbacher A., Borens O.
ISSN
2206-3552 (Print)
ISSN-L
2206-3552
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
4
Number
4
Pages
198-202
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Background: There is a constant increase of joint arthroplasties to improve the quality of life of an ever-aging population. Although prosthetic-joint infections are rare, with an incidence of 1-2%, they represent a serious complication in terms of morbidity and mortality. Infection related mortality is known to be approaching 8% at one year. The aim of this retrospective study is to reassess the one and two-year mortality over the last ten years. Methods: Patients treated for prosthetic joint infection at the University Hospital of Lausanne (Switzerland) between 2006 and 2016 were included. The one and two-year cumulative mortality depending on sex, age, type of prosthesis, infecting organism and type of surgical treatment were computed. Results: 363 patients (60% hips, 40% knees) were identified with a median age of 70 years. The one-year cumulative mortality was 5.5% and it was 7.3% after two years. No difference was seen between hip and knee prostheses, but the mortality was higher in men than in women and increased with age. Furthermore, there was a significant difference depending of the germ with enterococci infections associated with a higher risk of death. Finally, patients treated with a one-stage or two-stage exchange had a lower mortality than those treated with debridement and retention. Conclusion: The mortality is still high and differs according to sex, age, infecting organism and type of surgical treatment. There is a need of studies to improve the management of patients at risk of increased mortality.
Keywords
mortality, prosthetic-joint infection
Pubmed
Open Access
Yes
Create date
13/10/2019 17:16
Last modification date
15/01/2021 6:24
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