1. Role of mental disorders in nosocomial infections after hip fracture treatment
- Author
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Nicolás Benítez-Parejo, Encarnacion Cruz, Emilio Perea-Milla, Enrique Guerado, Juan Ramon Cano, CIBER Epidemioloǵıa y Salud Ṕublica (CIBERESP), [Guerado,E, Cano,JR, Cruz,E] Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga. [Benitez-Parejo,N, Perea-Milla,E] Department of Research, Statistics, and Epidemiology, CIBERESP, Hospital Costa del Sol, University of Malaga., and This paper was performed with a grant from the Carlos III Institute (The Spanish Ministry of Science and Innovation) to the authors’ network of research group on Clinical pidemiology (CIBERESP)
- Subjects
musculoskeletal diseases ,Microbiology (medical) ,Diseases::Wounds and Injuries::Fractures, Bone::Hip Fractures [Medical Subject Headings] ,medicine.medical_specialty ,Article Subject ,Psychiatry and Psychology::Mental Disorders [Medical Subject Headings] ,Infección Hospitalaria ,Diseases::Bacterial Infections and Mycoses::Infection::Cross Infection [Medical Subject Headings] ,Hip fracture surgery ,Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Iatrogenic Disease [Medical Subject Headings] ,Microbiology ,lcsh:Infectious and parasitic diseases ,Virology ,medicine ,lcsh:RC109-216 ,Multiple logistic regression analysis ,Fracturas de Cadera ,Enfermedad Iatrogénica ,Hip surgery ,Hip fracture ,business.industry ,Odds ratio ,medicine.disease ,Confidence interval ,Surgery ,Infectious Diseases ,Trastornos Mentales ,Parasitology ,business ,Research Article - Abstract
The association between mental disorders (MDs) and iatrogenic complications after hip fracture surgery has been poorly studied. Among iatrogenic complications, nosocomial infections (NIs) are a major factor in hip fracture surgery. The aim of this paper was to determine whether patients with a MD and a hip fracture develop more NIs after hip surgery than patients with no MD. We studied 912 patients who underwent surgery for a hip fracture (223 patients with a MD who underwent surgery for a hip fracture and 689 control patients without a MD who also underwent surgery for a hip fracture) and followed them after surgery. Univariable and multivariable analyses were performed using simple and multiple logistic regression analysis (confidence interval, crude and adjusted odds ratios, andPvalue). We found that MDs, gender, and comorbidities were not associated with a higher risk of developing a NI after surgery for a hip fracture. Only age increases the risk of a NI.
- Published
- 2010