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. 2019 Jul;34(7S):S337-S342.
doi: 10.1016/j.arth.2018.12.024. Epub 2018 Dec 24.

Mortality During Total Hip Periprosthetic Joint Infection

Kyle M Natsuhara  1 , Trevor J Shelton  1 , John P Meehan  1 , Zachary C Lum  1
Affiliations

Mortality During Total Hip Periprosthetic Joint Infection

Kyle M Natsuhara et al. J Arthroplasty. 2019 Jul.

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.

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