Patient-related risk factors for early revision of total hip replacements - A population register-based case-control study of 674 revised hips
Patient-related risk factors for early revision of total hip replacements - A population register-based case-control study of 674 revised hips
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DOI：
10.3109/17453679708996686
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发表时间：
1997-06-01
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影响因子：
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通讯作者：
Vollset, SE
中科院分区：
文献类型：
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作者：
Espehaug, B;Havelin, LI;Vollset, SE
在这项基于人群登记的配对病例对照研究中，我们评估了患者相关因素和全髋关节置换术（THR）后的早期翻修风险。通过1987-1993年期间向挪威关节置换登记中心报告的患者的邮件调查获得信息。该研究包括674例翻修髋关节（作为病例）和1，343例仅接受初次手术的髋关节（作为对照）。在2,017例个体病例和对照组中，81%的人完成了问卷调查，我们确定了一组与THR预后不良相关的患者相关因素。体重增加是67岁以上身高超过1.77 m的男性患者的风险因素（p = 0.01）。吸烟没有总体影响，但与从不吸烟者相比，前重度吸烟者的风险增加了2.6。酒精摄入与脱位风险增加相关。在服用降糖药物的患者中，因感染而翻修的比例（OR = 14）高于未服用药物的患者。在使用全身类固醇（OR = 2.8）或局部肺类固醇（OR = 6.0）的患者中发现总体翻修风险增加。初次手术前进行常规运动的男性患者（OR = 2.6）和从事繁重工作的劳动年龄女性患者（OR=1.9）的风险也增加。
In this population register-based, matched case-control study, we assessed patient-related factors and early risk of revision after total hip replacement (THR). Information was obtained via a mail survey among patients reported to the Norwegian Arthroplasty Register during the period 1987-1993. The study included 674 revised hips, as cases, and 1,343 hips with a primary operation only, as controls. Completed questionnaires were received from 81% of the 2,017 individual cases and controls.We identified a set of patient-related factors associated with poor THR prognosis. Increasing weight was a risk factor among male patients older than 67 years who were more than 1.77 m tall (p = 0.01). Smoking had no overall effect, but former heavy smokers had an increased risk of 2.6 compared to never-smokers. Alcohol intake was associated with an increased risk of dislocation. Revision due to infection was commoner among patients taking antidiabetic drugs (OR = 14) than among patients taking no medication. An increased overall revision risk was found among patients using systemic steroids (OR = 2.8) or local pulmonary steroids (OR = 6.0). The risk also increased in male patients performing regular exercise before the primary operation (OR = 2.6), and in female patients of working-age doing heavy work (OR=1.9).