Determination of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do?
Postoperative pneumonia is a serious complication in elderly patients with hip fracture. It is necessary to identify the influencing factors of postoperative pneumonia in patients with hip fracture. Elderly patients with hip fractures admitted to a tertiary hospital in China from January 1, 2020 to...
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| description | Postoperative pneumonia is a serious complication in elderly patients with hip fracture. It is necessary to identify the influencing factors of postoperative pneumonia in patients with hip fracture.
Elderly patients with hip fractures admitted to a tertiary hospital in China from January 1, 2020 to August 31, 2021 were included. The characteristics of patients with and without postoperative pneumonia were evaluated and compared. Logistic multivariate regression analyses were conducted to assess the risk factors of postoperative pneumonia.
267 patients with hip fracture were included, the incidence of postoperative pneumonia in patients with hip fracture was 13.11%. There were significant differences in the age, diabetes mellitus, anemia, hypoalbuminemia, anesthesia method and duration of surgery between infection and no infection group, no significant differences in the gender, BMI, hypertension, hyperlipidemia, type of fracture, preoperative oxygen saturation, white blood cell count, platelet count, red blood cell count, creatinine, alanine aminotransferase, aspartate aminotransferase, estimated blood loss during surgery were detected between infection and no infection group. Logistic regression analysis showed that age≥70y (OR2.326, 95%CI1.248~3.129), diabetes mellitus (OR2.123, 95%CI1.021~3.551), anemia (OR3.199,95%CI1.943~5.024), hypoalbuminemia (OR2.377, 95%CI1.211~3.398), general anesthesia (OR1.947, 95%CI1.115~3.038), duration of surgery≥120min (OR1.621, 95%CI1.488~2.534) were the risk factors of postoperative pneumonia in elderly patients with hip fracture (all p |
| doi_str_mv | 10.1371/journal.pone.0273350 |
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Elderly patients with hip fractures admitted to a tertiary hospital in China from January 1, 2020 to August 31, 2021 were included. The characteristics of patients with and without postoperative pneumonia were evaluated and compared. Logistic multivariate regression analyses were conducted to assess the risk factors of postoperative pneumonia.
267 patients with hip fracture were included, the incidence of postoperative pneumonia in patients with hip fracture was 13.11%. There were significant differences in the age, diabetes mellitus, anemia, hypoalbuminemia, anesthesia method and duration of surgery between infection and no infection group, no significant differences in the gender, BMI, hypertension, hyperlipidemia, type of fracture, preoperative oxygen saturation, white blood cell count, platelet count, red blood cell count, creatinine, alanine aminotransferase, aspartate aminotransferase, estimated blood loss during surgery were detected between infection and no infection group. Logistic regression analysis showed that age≥70y (OR2.326, 95%CI1.248~3.129), diabetes mellitus (OR2.123, 95%CI1.021~3.551), anemia (OR3.199,95%CI1.943~5.024), hypoalbuminemia (OR2.377, 95%CI1.211~3.398), general anesthesia (OR1.947, 95%CI1.115~3.038), duration of surgery≥120min (OR1.621, 95%CI1.488~2.534) were the risk factors of postoperative pneumonia in elderly patients with hip fracture (all p<0.05). Escherichia Coli (33.33%), Klebsiella pneumoniae (28.57%), Staphylococcus aureus (21.43%) were the most common bacteria of pulmonary infection.
There are many risk factors for postoperative pneumonia in elderly patients with hip fractures after surgery. In clinical practice, medical workers should take targeted interventions for those risk factors to reduce postoperative pneumonia.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0273350</identifier><identifier>PMID: 35998192</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Aged ; Aged patients ; Alanine ; Alanine transaminase ; Anemia ; Anesthesia ; Aspartate aminotransferase ; Bacteria ; Bacterial pneumonia ; Biology and Life Sciences ; Blood ; Body mass index ; Care and treatment ; Complications ; Complications and side effects ; Coronaviruses ; Creatinine ; Diabetes ; Diabetes mellitus ; Disease prevention ; E coli ; Erythrocytes ; Fatalities ; Fracture fixation ; Fractures ; General anesthesia ; Hip ; Hip Fractures - complications ; Hip Fractures - epidemiology ; Hip Fractures - surgery ; Hip joint ; Hospitals ; Humans ; Hyperlipidemia ; Hypertension ; Hypoalbuminemia - complications ; Infections ; Klebsiella ; Laboratories ; Leukocytes ; Medical personnel ; Medicine and Health Sciences ; Mortality ; Older people ; Oxygen ; Oxygen content ; Oxygen saturation ; Patients ; Pneumonia ; Pneumonia - complications ; Pneumonia - etiology ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Public health ; Regression analysis ; Retrospective Studies ; Risk analysis ; Risk assessment ; Risk Factors ; Surgery ; Tertiary ; Transaminases</subject><ispartof>PloS one, 2022-08, Vol.17 (8), p.e0273350</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Yu, Zheng. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Yu, Zheng 2022 Yu, Zheng</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-bc1ee288bdc8b95959cb7aecce8d57b7861e3660236a7a77e897045fef2efc283</citedby><cites>FETCH-LOGICAL-c622t-bc1ee288bdc8b95959cb7aecce8d57b7861e3660236a7a77e897045fef2efc283</cites><orcidid>0000-0003-2041-5898</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398012/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398012/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35998192$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Farouk, Osama</contributor><creatorcontrib>Yu, Yibing</creatorcontrib><creatorcontrib>Zheng, Peiwen</creatorcontrib><title>Determination of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do?</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Postoperative pneumonia is a serious complication in elderly patients with hip fracture. It is necessary to identify the influencing factors of postoperative pneumonia in patients with hip fracture.
Elderly patients with hip fractures admitted to a tertiary hospital in China from January 1, 2020 to August 31, 2021 were included. The characteristics of patients with and without postoperative pneumonia were evaluated and compared. Logistic multivariate regression analyses were conducted to assess the risk factors of postoperative pneumonia.
267 patients with hip fracture were included, the incidence of postoperative pneumonia in patients with hip fracture was 13.11%. There were significant differences in the age, diabetes mellitus, anemia, hypoalbuminemia, anesthesia method and duration of surgery between infection and no infection group, no significant differences in the gender, BMI, hypertension, hyperlipidemia, type of fracture, preoperative oxygen saturation, white blood cell count, platelet count, red blood cell count, creatinine, alanine aminotransferase, aspartate aminotransferase, estimated blood loss during surgery were detected between infection and no infection group. Logistic regression analysis showed that age≥70y (OR2.326, 95%CI1.248~3.129), diabetes mellitus (OR2.123, 95%CI1.021~3.551), anemia (OR3.199,95%CI1.943~5.024), hypoalbuminemia (OR2.377, 95%CI1.211~3.398), general anesthesia (OR1.947, 95%CI1.115~3.038), duration of surgery≥120min (OR1.621, 95%CI1.488~2.534) were the risk factors of postoperative pneumonia in elderly patients with hip fracture (all p<0.05). Escherichia Coli (33.33%), Klebsiella pneumoniae (28.57%), Staphylococcus aureus (21.43%) were the most common bacteria of pulmonary infection.
There are many risk factors for postoperative pneumonia in elderly patients with hip fractures after surgery. In clinical practice, medical workers should take targeted interventions for those risk factors to reduce postoperative pneumonia.</description><subject>Age</subject><subject>Aged</subject><subject>Aged patients</subject><subject>Alanine</subject><subject>Alanine transaminase</subject><subject>Anemia</subject><subject>Anesthesia</subject><subject>Aspartate aminotransferase</subject><subject>Bacteria</subject><subject>Bacterial pneumonia</subject><subject>Biology and Life Sciences</subject><subject>Blood</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Coronaviruses</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Disease prevention</subject><subject>E coli</subject><subject>Erythrocytes</subject><subject>Fatalities</subject><subject>Fracture fixation</subject><subject>Fractures</subject><subject>General anesthesia</subject><subject>Hip</subject><subject>Hip Fractures - complications</subject><subject>Hip Fractures - epidemiology</subject><subject>Hip Fractures - surgery</subject><subject>Hip joint</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hyperlipidemia</subject><subject>Hypertension</subject><subject>Hypoalbuminemia - complications</subject><subject>Infections</subject><subject>Klebsiella</subject><subject>Laboratories</subject><subject>Leukocytes</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Older people</subject><subject>Oxygen</subject><subject>Oxygen content</subject><subject>Oxygen saturation</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Pneumonia - complications</subject><subject>Pneumonia - etiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Tertiary</subject><subject>Transaminases</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk0tv1DAQxyMEoqXwDRBYQkJw2CW2k9jmAKrKa6VKlXgeLccZ77okcbCdln57vGxabVAPyAc_5jd_z4w9WfYY50tMGX517kbfq3Y5uB6WOWGUlvmd7BALShYVyendvfVB9iCE8zwvKa-q-9kBLYXgWJDDzL2DCL6zvYrW9cgZ5G34iYzS0fmw3Q8uRDeAT8AFoKGHsXO9Vcj2CNoGfHuFhmSDPgZ0aeMGbeyAjE8Co4fX6MdGRaRVjy4BNe7tw-yeUW2AR9N8lH378P7ryafF6dnH1cnx6UJXhMRFrTEA4bxuNK9FmYaumQKtgTclqxmvMNCqygmtFFOMARcsL0oDhoDRhNOj7OlOd2hdkFOtgiQsLytRCIETsdoRjVPncvC2U_5KOmXl3wPn11L5aHULkkOhDGtqIgwtqG6UYlhzKFWTpxhwlbTeTLeNdQeNTsXwqp2Jzi293ci1u5CCCp5jkgReTALe_RohRNnZoKFtVQ9u3MXNCsGISOizf9Dbs5uotUoJ2N64dK_eispjhgvGeQo7UctbqDQa6KxOH8vYdD5zeDlzSEyE33GtxhDk6svn_2fPvs_Z53vsBlQbN8G14_ZThjlY7EDtXQgezE2RcS63fXFdDbntCzn1RXJ7sv9AN07XjUD_ANyvCfg</recordid><startdate>20220823</startdate><enddate>20220823</enddate><creator>Yu, 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of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do?</title><author>Yu, Yibing ; Zheng, Peiwen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-bc1ee288bdc8b95959cb7aecce8d57b7861e3660236a7a77e897045fef2efc283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged patients</topic><topic>Alanine</topic><topic>Alanine transaminase</topic><topic>Anemia</topic><topic>Anesthesia</topic><topic>Aspartate aminotransferase</topic><topic>Bacteria</topic><topic>Bacterial pneumonia</topic><topic>Biology and Life Sciences</topic><topic>Blood</topic><topic>Body mass index</topic><topic>Care and treatment</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Coronaviruses</topic><topic>Creatinine</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Disease prevention</topic><topic>E coli</topic><topic>Erythrocytes</topic><topic>Fatalities</topic><topic>Fracture fixation</topic><topic>Fractures</topic><topic>General anesthesia</topic><topic>Hip</topic><topic>Hip Fractures - complications</topic><topic>Hip Fractures - epidemiology</topic><topic>Hip Fractures - surgery</topic><topic>Hip joint</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hyperlipidemia</topic><topic>Hypertension</topic><topic>Hypoalbuminemia - complications</topic><topic>Infections</topic><topic>Klebsiella</topic><topic>Laboratories</topic><topic>Leukocytes</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Mortality</topic><topic>Older people</topic><topic>Oxygen</topic><topic>Oxygen content</topic><topic>Oxygen saturation</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Pneumonia - complications</topic><topic>Pneumonia - etiology</topic><topic>Postoperative Complications - 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Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Yibing</au><au>Zheng, Peiwen</au><au>Farouk, Osama</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determination of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do?</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-08-23</date><risdate>2022</risdate><volume>17</volume><issue>8</issue><spage>e0273350</spage><pages>e0273350-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Postoperative pneumonia is a serious complication in elderly patients with hip fracture. It is necessary to identify the influencing factors of postoperative pneumonia in patients with hip fracture.
Elderly patients with hip fractures admitted to a tertiary hospital in China from January 1, 2020 to August 31, 2021 were included. The characteristics of patients with and without postoperative pneumonia were evaluated and compared. Logistic multivariate regression analyses were conducted to assess the risk factors of postoperative pneumonia.
267 patients with hip fracture were included, the incidence of postoperative pneumonia in patients with hip fracture was 13.11%. There were significant differences in the age, diabetes mellitus, anemia, hypoalbuminemia, anesthesia method and duration of surgery between infection and no infection group, no significant differences in the gender, BMI, hypertension, hyperlipidemia, type of fracture, preoperative oxygen saturation, white blood cell count, platelet count, red blood cell count, creatinine, alanine aminotransferase, aspartate aminotransferase, estimated blood loss during surgery were detected between infection and no infection group. Logistic regression analysis showed that age≥70y (OR2.326, 95%CI1.248~3.129), diabetes mellitus (OR2.123, 95%CI1.021~3.551), anemia (OR3.199,95%CI1.943~5.024), hypoalbuminemia (OR2.377, 95%CI1.211~3.398), general anesthesia (OR1.947, 95%CI1.115~3.038), duration of surgery≥120min (OR1.621, 95%CI1.488~2.534) were the risk factors of postoperative pneumonia in elderly patients with hip fracture (all p<0.05). Escherichia Coli (33.33%), Klebsiella pneumoniae (28.57%), Staphylococcus aureus (21.43%) were the most common bacteria of pulmonary infection.
There are many risk factors for postoperative pneumonia in elderly patients with hip fractures after surgery. In clinical practice, medical workers should take targeted interventions for those risk factors to reduce postoperative pneumonia.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35998192</pmid><doi>10.1371/journal.pone.0273350</doi><tpages>e0273350</tpages><orcidid>https://orcid.org/0000-0003-2041-5898</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Aged Aged patients Alanine Alanine transaminase Anemia Anesthesia Aspartate aminotransferase Bacteria Bacterial pneumonia Biology and Life Sciences Blood Body mass index Care and treatment Complications Complications and side effects Coronaviruses Creatinine Diabetes Diabetes mellitus Disease prevention E coli Erythrocytes Fatalities Fracture fixation Fractures General anesthesia Hip Hip Fractures - complications Hip Fractures - epidemiology Hip Fractures - surgery Hip joint Hospitals Humans Hyperlipidemia Hypertension Hypoalbuminemia - complications Infections Klebsiella Laboratories Leukocytes Medical personnel Medicine and Health Sciences Mortality Older people Oxygen Oxygen content Oxygen saturation Patients Pneumonia Pneumonia - complications Pneumonia - etiology Postoperative Complications - epidemiology Postoperative Complications - etiology Public health Regression analysis Retrospective Studies Risk analysis Risk assessment Risk Factors Surgery Tertiary Transaminases |
| title | Determination of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T06%3A11%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Determination%20of%20risk%20factors%20of%20postoperative%20pneumonia%20in%20elderly%20patients%20with%20hip%20fracture:%20What%20can%20we%20do?&rft.jtitle=PloS%20one&rft.au=Yu,%20Yibing&rft.date=2022-08-23&rft.volume=17&rft.issue=8&rft.spage=e0273350&rft.pages=e0273350-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0273350&rft_dat=%3Cgale_plos_%3EA714788163%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2705694991&rft_id=info:pmid/35998192&rft_galeid=A714788163&rft_doaj_id=oai_doaj_org_article_8e4af7db29f343cdaa71c8e5ad066016&rfr_iscdi=true |