ArticleOrthopaedic surgery2020
Prognostic Implications of Preoperative Pneumonia for Geriatric Patients Undergoing Hip Fracture Surgery or Arthroplasty.
Article in Orthopaedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Vaccination is associated with reduced mortality rates after surgery for hip fractures in the setting of recent COVID-19 infection: an observational study from the Kaiser Permanente Northern California Database.Acta orthopaedica · 2026Observational
- Management and optimisation in the preoperative phase for patients with a fractured hip.EFORT open reviews · 2026Review
- Best practices in the management of proximal femoral fractures in elderly patients on the ward: a narrative review.EFORT open reviews · 2026Review
- Establishment and validation of a clinical prediction model for perioperative pneumonia in elderly patients with hip fractures combined with preoperative stroke.Frontiers in medicine · 2026Article
- Factors Predicting Ambulatory Status at Discharge After Fragility Hip Fracture Surgery: A Retrospective Cohort Study.Medical sciences (Basel, Switzerland) · 2025Article
- Automatic measurement of proximal femoral morphological parameters using point cloud semantic segmentation technology.Scientific reports · 2025Article
- Preoperative Consultations and Their Effect on Surgical Delays and Mortality in Hip Fracture Surgery.Orthopaedic surgery · 2025Article
- Nomogram for predicting postoperative pulmonary infection in elderly patients undergoing major orthopedic surgery.Frontiers in medicine · 2025Article
- What do hip fracture patients die from?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Is There a "Black Friday" for Geriatric Hip Fracture Surgery?Orthopaedic surgery · 2023Article
- Relationship between preoperative red blood cell distribution width and postoperative pneumonia in elderly patients with hip fracture: a retrospective cohort study.Journal of orthopaedic surgery and research · 2023Article
- Clinical Effectiveness of Home-Based Telerehabilitation Program for Geriatric Hip Fracture Following Total Hip Replacement.Orthopaedic surgery · 2023Article
- Incidence and risk factors for postoperative nosocomial pneumonia in elderly patients with hip fractures: A single-center study.Frontiers in surgery · 2023Article
- Complications Following Elective Major Noncardiac Surgery Among Patients With Prior SARS-CoV-2 Infection.JAMA network open · 2022Article
- Thirty-day morbidity and mortality following primary total elbow arthroplasty in octogenarians.Shoulder & elbow · 2022Article
- Association between pre-operative complications, comorbidities, and in-hospital mortality in a hip fracture cohort: a register study in a tertiary hospital in Brazil.International orthopaedics · 2022Article
- Incidence and risk factors for postoperative pneumonia following surgically treated hip fracture in geriatric patients: a retrospective cohort study.Journal of orthopaedic surgery and research · 2022Article
- Effect of nutritional status before femoral neck fracture surgery on postoperative outcomes: a retrospective study.BMC musculoskeletal disorders · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report outcomes of geriatric patients undergoing hip fracture surgery or arthroplasty with or without preoperative pneumonia and to evaluate the influence of pneumonia severity on patient prognosis.
methodsIn this single center retrospective study, we included geriatric patients (≥60 years old) who had undergone hip fracture surgery or arthroplasty at Peking University People's Hospital from January 2008 to September 2018. Patients with fractures caused by neoplasms or patients with incomplete clinical data were excluded. Using logistic regression and the CURB-65 (confusion, uremia, respiratory rate, blood pressure, and age ≥65 years) score as a prediction tool of 1-year mortality, the effect of preoperative pneumonia on 1-year mortality was evaluated. Survival of patients with different response to pneumonia-specific therapy and survival of patients with different pneumonia severity (evaluated with CURB-65 score) were analyzed using Cox regression.
resultsA total of 1386 patients were included; among them, 109 patients (7.86%) were diagnosed with preoperative pneumonia. Outcomes were evaluated in August 2019 (at least 1 year after surgery for all patients). Compared to patients without preoperative pneumonia, patients with this condition had higher 30-day mortality (11.9% vs 5%, P = 0.002) and 1-year mortality rates (33.9% vs 16.3%, P < 0.001) and higher incidence of acute heart failure (7.3% vs 3.4%, P = 0.034) and acute kidney injury (5.5% vs 1.8%, P = 0.009). In multivariate regression, preoperative pneumonia was identified as an independent predictor of 1-year mortality (odds ratio [OR], 1.45; 95% confidence interval [CI] 1.39-3.52; P = 0.021), with other factors including age (≥84 years, OR, 1.46; 95% CI 1.08-1.60; P = 0.027), body mass index (<18.5 kg/m
conclusionIn this single center retrospective study, preoperative pneumonia was identified as an independent risk factor of 1-year mortality in geriatric patients undergoing hip fracture surgery or arthroplasty. A CURB-65 score ≥3 indicated a higher risk of mortality.
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