Factors associated with prolonged wound drainage after hemiarthroplasty for hip fractures in elderly
- PDF / 745,277 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 68 Downloads / 210 Views
ORIGINAL PAPER
Factors associated with prolonged wound drainage after hemiarthroplasty for hip fractures in elderly Umut Canbek 1 & Ulas Akgun 1 Oguzhan Samil Erciyes 1
&
Nevres Hurriyet Aydogan 1
&
Tugba Dubektas Canbek 2
&
Ali Turgut 3
&
Received: 24 February 2020 / Accepted: 14 July 2020 # SICOT aisbl 2020
Abstract Purpose The aim of this study was to determine the incidence of prolonged wound drainage (PWD) and the amount of drainage fluid after hip hemiarthroplasty (HA) and to investigate the risk factors for the development of PWD associated with the patient, fracture and surgical treatment. Methods Data from 313 patients who underwent HA were prospectively analysed. The mean drainage time and drainage amount of patients with PWD were calculated. Patient demographic data, pre-operative ASA scores and anticoagulation status, presence of diabetes, fracture type, surgical approach, femoral stem type, cable usage, amount of drain output, blood transfusion quantity, time from injury to surgery, time from surgery to discharge and patient blood tests were investigated. Results The incidence of PWD after HA was 8.9% (28 patients). The mean drainage time in patients with PWD was 4.9 ± 1.85 (3–9) days, and the mean collected total fluid volume was 51.1 ± 26.9 (21–132) mL. PWD was more commonly observed in the lateral approach group (p < 0.001) and morbidly obese patients (p < 0.001). In the PWD group, the mean post-operative first-day haemoglobin value was lower (p < 0.001), more blood transfusions were required (p < 0.001) and the amount of drainage output from the closed suction drain (CSD) was higher (p < 0.001). The duration of hospitalization was longer in patients with PWD (p < 0.001). Lateral approach, morbid obesity and increased drainage output were found to be associated with PWD in logistic regression analysis. Conclusion Lateral approach, morbid obesity and increased drainage output were found to be risk factors for the occurrence of PWD. Keywords Drainage time . Drainage volume . Hemiarthroplasty . Prolonged wound drainage
Introduction Prolonged wound drainage (PWD) is considered one of the few factors that cause early periprosthetic joint infection (PJI) following arthroplasty [1–5]. It is not clear whether patients
with PWD develop surgical site infections (SSIs) or heal without complications [5, 6]. Due to the apprehension of PJI complications, increased hospitalization time is enforced, and sometimes unnecessary irrigation and debridement surgeries
* Umut Canbek [email protected]
Oguzhan Samil Erciyes [email protected]
Ulas Akgun [email protected]
1
Department of Orthopaedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
Nevres Hurriyet Aydogan [email protected]
2
Department of Internal Medicine, Mugla Sitki Kocman University Training and Research Hospital, Mugla, Turkey
3
Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Izmir, Turkey
Tugba Dubektas Canbek [email protected] Ali Tur
Data Loading...
