Incidence and Risk Factors for Surgical Site Infection after Femoral Neck Fracture Surgery: An Observational Cohort Study of 2218 Patients

Abstract

Background. Surgical site infection (SSI) was a formidable challenge for surgical management of femoral neck fractures; however, there was a lack of studies with comprehensive variables. We conducted this study to investigate the incidence and risk factors of SSI in elderly patients with femoral neck fractures. Methods. This was a retrospective study of patients who presented with femoral neck fractures and underwent surgery in our institution between January 2016 and April 2020. All data were collected from a previously validated database. Patients were divided into SSI and non-SSI groups. Univariate and multivariate logistic regression analyses were conducted to identify the risk factors for SSI. Results. A total of 2218 patients with femoral neck fractures were enrolled in the study, of whom 22 (1%) developed SSI, including 15 (0.7%) superficial and 7 (0.3%) deep SSIs. After multivariable adjustment for confounding factors, patients with and without SSI significantly differ in terms of gender, prolonged time to surgery, CHE < 5 U / L , and injury mechanism. Conclusions. Our results were helpful for stratification of SSI risk and improved management of hip fracture. Clinicians should be alert to patients with these factors and improve modifiable factors such as preoperative waiting time.

Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta‐analysis

“…As shown in Figure 2, all studies 8–10,19–27 were of high quality. However, limitations in two studies 8,24 and findings and conflicts of interest were not reported in two studies 8,20 …”

“…Twenty‐three studies were removed owing to improper research design or outcomes, and 22 studies were discarded due to a lack of necessary data after carefully examining the full text of 55 studies. Finally, this systematic review and meta‐analysis included 12 studies 8–10,19–27 …”

“…As shown in Table 1, a total of 71 854 patients undergoing long bone surgery participated in 12 studies 8–10,19–27 . Their mean age was 57.89 (SD = 16.51), and 57.79% of them were women.…”

“…Twenty-three studies were removed owing to improper research design or outcomes, and 22 studies were discarded due to a lack of necessary data after carefully examining the full text of 55 studies. Finally, this systematic review and metaanalysis included 12 studies [8][9][10][19][20][21][22][23][24][25][26][27]. 4.2 | Study characteristicsAs shown in Table1, a total of 71 854 patients undergoing long bone surgery participated in 12 studies [8][9][10][19][20][21][22][23][24][25][26][27].…”

Surgical Site Infection after Bone Tumor Surgery: Risk Factors and New Preventive Techniques

“…The incidence of SSI following malignant bone tumor surgery has been reported to be 3–10 times higher than that following general orthopedic surgery [ 6 , 7 ]. The incidence of SSI in patients who underwent orthopedic surgeries was reported as 0.2–4.2% [ 8 , 9 , 10 , 11 , 12 , 13 ]. The incidence of SSI in total hip arthroplasty was reported as 0.2% [ 13 ], whereas the incidences of SSI in spine surgeries were reported as 3.4–4.2% [ 10 , 12 ].…”