ArticlePloS one2022
Determination of risk factors of postoperative pneumonia in elderly patients with hip fracture: What can we do?
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Risk factors for hospital-acquired pneumonia in hip fracture patients: A systematic review and meta-analysis.Medicine · 2024Pooled it
- Risk factors for hospital-acquired pneumonia in hip fracture patients: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Differential complication risks in diabetic and non-diabetic geriatric patients following distal femur fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Prevalence and associated risk factors of pneumonia following surgery for geriatric osteoporotic fracture: A nationwide cross-sectional study of China.Scientific reports · 2026Article
- Risk factors for postoperative pneumonia following intracranial aneurysm surgery: a propensity score matching analysis.Perioperative medicine (London, England) · 2026Article
- Development and Validation of a Robust Prediction Model for Postoperative Pneumonia in Elderly Patients with Hip Fracture: Integrating Frailty, Nutrition, and Comprehensive Risk Assessment.Risk management and healthcare policy · 2026Article
- Interpretable machine learning model for predicting postoperative hypoproteinemia in middle-aged and elderly patients following total joint arthroplasty: a multicenter retrospective study.Frontiers in nutrition · 2026Article
- Differential association of the 5-factor modified frailty index with postoperative pulmonary complications: specific prediction of infection risk after pulmonary lobectomy.Frontiers in medicine · 2026Article
- The effect of acupuncture on reducing postoperative complications in fracture patients: A retrospective analysis using the TriNetX database.Bone reports · 2025Article
- Examination of factors causing postoperative pneumonia in elderly hip fracture patients: A narrative review.Medicine · 2025Review
- Risk Factors and Prediction Model for Postoperative Pneumonia Following Hip Arthroplasty in Older Adults.Clinical interventions in aging · 2025Article
- Development of an Online Nomogram for Predicting Postoperative Hypoalbuminemia in Older Adults Following Femoral Neck Fractures.Clinical interventions in aging · 2025Article
- Risk factors for SARS-CoV-2 pneumonia among renal transplant recipients in Omicron pandemic-a prospective cohort study.Virology journal · 2024Article
- Moderate to severe anemia at admission increases the risk of complications in patients over 60 years with hip fracture.BMC geriatrics · 2024Article
- Major comorbid diseases as predictors of infection in the first month after hip fracture surgery: a population-based cohort study in 92,239 patients.European geriatric medicine · 2024Article
- Article
- Postoperative pneumonia after femoral fracture surgery: an in-depth retrospective analysis.BMC musculoskeletal disorders · 2024Article
- Orthogeriatric Care Following Hip Fracture: Improving Post-Operative Outcomes in an Aged Population.Life (Basel, Switzerland) · 2024Article
- Random forest predictive modeling of prolonged hospital length of stay in elderly hip fracture patients.Frontiers in medicine · 2024Article
- Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune inflammation index (SII) to predict postoperative pneumonia in elderly hip fracture patients.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
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Abstract
backgroundPostoperative 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.
methodsElderly 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.
results267 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.
conclusionThere 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.
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