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The incidence of severe urinary tract infection increases after hip fracture in the elderly: a nationwide cohort study
- Source :
- Scientific Reports, Scientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
- Publication Year :
- 2021
- Publisher :
- Nature Publishing Group UK, 2021.
-
Abstract
- Although urinary tract infection (UTI) is a common perioperative complication among elderly patients with hip fracture, its incidence and effects are often underestimated. This study investigated the effects of severe UTI (S-UTI) on elderly patients with hip fracture and the risk factors for this condition. In this retrospective nationwide cohort study, we searched Taiwan’s National Health Insurance Research Database from 2000 to 2012 for data on patients aged ≥ 50 years with hip fracture who underwent open reduction and internal fixation or hemiarthroplasty for comparison with healthy controls (i.e. individuals without hip fracture). The study and comparison cohorts were matched for age, sex, and index year at a 1:4 ratio. The incidence and hazard ratios of age, sex, and multiple comorbidities associated with S-UTI were calculated using Cox proportional hazard regression models. Among the 5774 and 23,096 patients in the study and comparison cohorts, the overall incidence of S-UTI per 100 person-years was 8.5 and 5.3, respectively. The risk of S-UTI was cumulative over time and higher in the study cohort than in the comparison cohort, particularly in those who were older, were female, or had comorbidities of cerebrovascular accident or chronic renal failure.
- Subjects :
- Male
medicine.medical_specialty
Epidemiology
Science
medicine.medical_treatment
urologic and male genital diseases
Trauma
Models, Biological
Severity of Illness Index
Article
Comorbidities
03 medical and health sciences
Fracture Fixation, Internal
0302 clinical medicine
Sex Factors
Internal medicine
Medicine
Internal fixation
Humans
030212 general & internal medicine
Aged
Aged, 80 and over
Hip fracture
Multidisciplinary
Musculoskeletal system
Disability
business.industry
Hip Fractures
Incidence (epidemiology)
Incidence
Hazard ratio
030208 emergency & critical care medicine
Perioperative
Urological manifestations
Middle Aged
medicine.disease
Stroke
Risk factors
Cohort
Urinary Tract Infections
Kidney Failure, Chronic
Female
business
Complication
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 20452322
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Scientific Reports
- Accession number :
- edsair.doi.dedup.....0ed532ede6809ed495691728d3b41a36