Key result
Elective total hip arthroplasty for osteoarthritis was associated with a greater increase in quality of life compared to non-elective surgery for hip fracture.
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?
Cohort (n=104)
No
Does elective total hip arthroplasty compared to non-elective surgery affect infection rates and quality of life in patients older than 65 years?
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.
Answers are grounded in this paper and cite their sources.
Infection after non-elective THA may impair quality of life; leaves open whether targeted prevention improves outcomes in fracture patients.
Objectives: To study infection rates in patients undergoing total hip arthroplasty, comparing elective surgery against intervention due to hip fracture (non-elective), and being related to the quality of life of them, comparing infection sample versus uninfected one.Methods: Longitudinal prospective study of 104 patients older than 65 years who underwent hip replacement between October 2008 and March 2010, in "Consorcio Hospital General Universitario de Valencia".The EuroQol-5D was used for clinical assessment.Results: The infection rate was 2.88% at 6 months follow-up (3 elective surgery infections and no one infection in hip fracture), decreasing the prevalent infection rate to 0% at 12 months.Total hip arthroplasty intervention means an increase quality of life of 0.452 in the patients studied.Conclusion: Lower quality of life figures in patients undergoing surgery due to hip fracture (-0.1685) compared to osteoarthritis (0.5729) (p <0.001) are obtained.Postoperative quality of life scores are similar between infected and uninfected sample (0.898 and 0.791 respectively) but health and economic impact of hip joint replacement infections are important.
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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 greater increase in quality of life compared to non-elective surgery for hip fracture.
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