Risk factors associated with revision for prosthetic joint infection after hip replacement: a prospective observational cohort study Erik Lenguerrand,

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Presentation transcript:

Risk factors associated with revision for prosthetic joint infection after hip replacement: a prospective observational cohort study Erik Lenguerrand, PhD, Michael R Whitehouse, PhD, Andrew D Beswick, BSc, Setor K Kunutsor, PhD, Ben Burston, FRCS, Martyn Porter, FRCS, Ashley W Blom, PhD The Lancet Infectious Diseases Volume 18, Issue 9, Pages 1004-1014 (September 2018) DOI: 10.1016/S1473-3099(18)30345-1 Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is a Gold Open Access article under the CC BY 4·0 licence Terms and Conditions

Figure 1 Description of the sample HES=Hospital Episode Statistics for England. PEDW=Patient Episode Database for Wales. *Only data for England and Wales were considered; data collection for Northern Ireland started Feb 2, 2013, and primary revision procedures could not be considered due to their limited number and restricted follow-up. Data collection for the Isle of Man started on July 1, 2015, after the endpoint of this study and were not considered. †As recorded in HES for the 5 years preceding the primary hip replacement. The Lancet Infectious Diseases 2018 18, 1004-1014DOI: (10.1016/S1473-3099(18)30345-1) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is a Gold Open Access article under the CC BY 4·0 licence Terms and Conditions

Figure 2 Risk factors of revision for prosthetic joint infection for the overall postoperative period, 2003–13 Reference category in parentheses. BMI=body-mass index. ASA=American Society of Anaesthesiologists. THR=total hip replacement. MoM=metal-on-metal. MoP=metal-on-polyethylene. CoP=ceramic-on-polyethylene. CoC=ceramic-on-ceramic. CoM=metal-on-ceramic. *Adjusted p value <0·05 (details in the appendix alongside the rate ratios and 95% CIs). The Lancet Infectious Diseases 2018 18, 1004-1014DOI: (10.1016/S1473-3099(18)30345-1) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is a Gold Open Access article under the CC BY 4·0 licence Terms and Conditions

Figure 3 Risk factors of revision for prosthetic joint infection for the first 3 postoperative months Reference category in parentheses. BMI=body-mass index. ASA=American Society of Anaesthesiologists. THR=total hip replacement. MoM=metal-on-metal. MoP=metal-on-polyethylene. CoP=ceramic-on-polyethylene. CoC=ceramic-on-ceramic. CoM=metal-on-ceramic. *Adjusted p value <0·05 (details in the appendix alongside the rate ratios and 95% CIs). The Lancet Infectious Diseases 2018 18, 1004-1014DOI: (10.1016/S1473-3099(18)30345-1) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is a Gold Open Access article under the CC BY 4·0 licence Terms and Conditions