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Proximal Femoral Fractures in Geriatric Patients: Identifying the Major Risk Factors for Postoperative Infection in a
Omer Marom1,2, Eyal Yaacobi1,2, Pnina Shitrit1,2
1Department of Orthopedics, Meir Medical Center, Kfar Saba, Israel.
The Israel Medical Association Journal : IMAJ
|August 15, 2021
Summary
Proximal femoral fracture patients are at higher risk of postoperative infection. Prolonged surgery and hospitalization significantly increase infection risk, necessitating optimized surgical planning and timely discharge.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Epidemiology
- Geriatric Medicine
Background:
- Proximal femoral fractures (PFF) are common in the elderly, with postoperative infections posing significant risks.
- Infections after PFF surgery increase patient mortality, morbidity, and healthcare costs.
Purpose of the Study:
- To identify the primary causes of postoperative infection in patients with proximal femoral fractures.
Main Methods:
- Retrospective analysis of 1276 proximal femoral fracture patients (2015-2017).
- Patients categorized based on postoperative infection occurrence within 30 days.
- Analysis of factors including time to surgery, surgical duration, and hospitalization length.
Main Results:
- 3% of patients (38/1276) developed postoperative infections.
- Hemiarthroplasty group showed the highest infection rate (6%).
- Significant risk factors for infection included longer hospitalization (15 vs. 8 days) and longer operative time (117 vs. 77 minutes).
Conclusions:
- Prolonged surgery and hospitalization are key risk factors for postoperative infections in PFF patients.
- Recommendations include optimizing discharge, selecting appropriate surgical procedures, and improving surgical planning to minimize delays.
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