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September 18, 2017MOJ Orthopedics & RheumatologyOpen Access

Comparative of Infection Rate in Non-Elective and Elective Surgery, and Its Relation on Quality of Life

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Key result

Elective total hip arthroplasty for osteoarthritis was associated with a significantly greater increase in quality of life compared to non-elective surgery for hip fracture (0.5729 vs -0.1685, p<0.001).

Why the study?

Does elective total hip arthroplasty compared to non-elective surgery affect infection rates and quality of life in patients older than 65 years?

Population

104 patients older than 65 years who underwent hip replacement

Comparison

Elective total hip arthroplasty vs Non-elective total hip arthroplasty

Design

Cohort

Follow-up

12 months

Authors

ATAndrea Tomas

Discussion

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Overview

Infection after non-elective THA may impair quality of life; leaves open whether targeted prevention improves outcomes in fracture patients.

Study Design

Type

Cohort (n=104)

Multicenter

No

Structured PICO

Does elective total hip arthroplasty compared to non-elective surgery affect infection rates and quality of life in patients older than 65 years?

P
Population
104 patients older than 65 years undergoing total hip arthroplasty for osteoarthritis or hip fracture, followed for 12 months.
E
Exposure
Elective total hip arthroplasty (for osteoarthritis)
C
Comparator
Non-elective total hip arthroplasty (for hip fracture)
O
Outcome
Infection rates and quality of life assessed by EuroQol-5Dpatient reported

Main Result

Absolute Event Rate: 0.5729% vs -0.1685%

p-value: p=<0.001

Elective hip arthroplasty for osteoarthritis is associated with higher quality of life compared to non-elective surgery for hip fracture, with low overall infection rates.

Limitations

  • Small sample size, particularly in the hip fracture group (n=19), limiting statistical power for infection comparisons.
  • Lack of infections in the hip fracture group prevented comparison of quality of life between infected and uninfected patients in that cohort.
  • Single-center study design.

Cite This Study

Andrea Tomas (2017) conducted a cohort in Total hip arthroplasty (n=104). Elective surgery for osteoarthritis vs. Non-elective surgery for hip fracture was evaluated on Increase in quality of life (p=<0.001). Elective total hip arthroplasty for osteoarthritis was associated with a significantly greater increase in quality of life compared to non-elective surgery for hip fracture (0.5729 vs -0.1685, p<0.001).

synapsesocial.com/papers/6ab61625af0d8ad41c20bb07https://doi.org/10.15406/mojor.2017.08.00338
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Characterization of Patients Undergoing Total Hip Arthroplasty in a Real-World Setting and Pain-Related Medication Prescriptions for Management of Postoperative Pain2012 · 10 citations