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The Journal of Arthroplasty, Volume 34, Issue 7, S337 - S342
Hip
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Mortality During Total Hip Periprosthetic Joint Infection
Kyle M. Natsuhara, Trevor J. Shelton, John P. Meehan, Zachary C. LumHip
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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