The Journal of Arthroplasty, Volume 34, Issue 7, S337 - S342

Mortality During Total Hip Periprosthetic Joint Infection

Kyle M. Natsuhara, Trevor J. Shelton, John P. Meehan, Zachary C. Lum
Hip

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.

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