Risk factors for perioperative pulmonary infection in patients with senile hip fracture

doi:10.3969/j.issn.2095-4344.2014.35.027

Abstract

Abstract:

BACKGROUND: At present, few studies concerned pulmonary infection after treatment of senile fracture. For special parts of senile patients, there are no studies on complications of pulmonary infection in perioperative period after hip fracture.
OBJECTIVE: To study risk factors for pulmonary infection in patients with senile hip fractures in perioperative period.
METHODS: The data of 46 senile hip fracture patients with perioperative pulmonary infection were retrospectively analyzed. A matched case-control study was conducted in 46 senile hip fracture patients without pulmonary infection in the same hospital and the same period. The difference in perioperative various clinical indexes was compared between the two groups. Risk factors of pulmonary infection received Logistic regression analysis.
RESULTS AND CONCLUSION: Multivariate analysis screened out 14 possible perioperative pulmonary infection factors: chronic obstructive pulmonary disease, smoking, diabetes mellitus, heart disease, mechanical ventilation, intraoperative bleeding amount, erythrocyte infusion, operation time, preoperative low body mass index (body mass index <18.5 kg/m²), serum albumin < 35 g/L, electrolyte disturbance, time of entering intensive care unit and length of stay. Logistic regression analysis displayed that chronic obstructive pulmonary disease (OR = 23.317; 95%CI: 2.702-60.312; P=0.000), entering intensive care unit (OR= 7.890; 95%CI: 2.624-76.012; P=0.008), mechanical ventilation (OR=35.210; 95%CI: 8.464-131.203; P=0.017) and operation time (OR= 12.122; 95%CI: 5.154-99.098;P=0.012) were independent risk factors for perioperative pulmonary infection in patients with senile hip fracture. These data indicated that one should be alert to the possible occurrence of pulmonary infection in senile hip fracture patients with the presence of chronic obstructive pulmonary disease, entering intensive care unit and mechanical ventilation.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: hip fractures, lung diseases, infection, pulmonary disease, chronic obstructive, postoperative complications

CLC Number:

R318

Li Li, Chen Nian, Ke Liu, Wen Xiao-feng. Risk factors for perioperative pulmonary infection in patients with senile hip fracture[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(35): 5736-5740.

Figures/Tables 5

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