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J Bone Joint Surg Br · Jun 2008
Early infection after hip fracture surgery: risk factors, costs and outcome.
- C Edwards, A Counsell, C Boulton, and C G Moran.
- Department of Orthopaedics and Trauma, University Hospital, Nottingham, Nottingham NG7 2UH, UK.
- J Bone Joint Surg Br. 2008 Jun 1;90(6):770-7.
AbstractProspective data on hip fracture from 3686 patients at a United Kingdom teaching hospital were analysed to investigate the risk factors, financial costs and outcomes associated with deep or superficial wound infections after hip fracture surgery. In 1.2% (41) of patients a deep wound infection developed, and 1.1% (39) had a superficial wound infection. A total of 57 of 80 infections (71.3%) were due to Staphylococcus aureus and 39 (48.8%) were due to MRSA. No statistically significant pre-operative risk factors were detected. Length of stay, cost of treatment and pre-discharge mortality all significantly increased with deep wound infection. The one-year mortality was 30%, and this increased to 50% in those who developed an infection (p < 0.001). A deep infection resulted in doubled operative costs, tripled investigation costs and quadrupled ward costs. MRSA infection increased costs, length of stay, and pre-discharge mortality compared with non-MRSA infection.
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