CORR Insights®: Are Patients Who Undergo THA for Infection at Higher Risk for 30-day Complications?

摘要

In the current study, Boniello and colleagues [2] queried the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database for patients undergoing revision THA from 2012 to 2015 and found that patients undergoing the procedure for periprosthetic joint infection (PJI) experience major complications and undergo reoperation more frequently in the first 30 postoperative days than patients undergoing revision THA for other reasons. They also found that malnutrition was associated both with reoperation and mortality. The current study serves as a good reminder of just how serious an operation revision THA for PJI can be; alarmingly, 10% of patients developed a major complication (myocardial infarction, sepsis, septic shock, stroke, or mortality) and 4% of patients developed a deep infection in just the first 30 days after the revision procedure.