ArticleJournal of clinical orthopaedics and trauma2025
Risk factors associated with nosocomial infections in pelvic ring and acetabular fractures: A case-control study.
Article in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: To identify potential risk factors associated with the development of nosocomial infections in patients with pelvic ring and acetabular fractures. Methods: A case-control study was conducted at a tertiary trauma centre in Colombia, from January 2019 to May 2024. Patients with ICD-10 codes corresponding to pelvic ring and acetabular fractures were selected. After the application of inclusion and exclusion criteria, a final sample of 103 eligible participants was obtained. Qualitative and quantitative variables were analysed by standard methods. Odds ratios with 95 % confidence intervals were calculated using cross-tabulations. Statistical significance was determined using a two-tailed Results: Mean age of the study population was 45.3 ± 20.61 years, consisting mostly of males (n = 68, 66.01 %) and road traffic accidents (n = 53, 51.45 %). The overall rate of infection was 22.3 % (n = 23), led by tracheitis (n = 9, 8.73 %), catheter associated UTI (n = 8, 7.76 %) and surgical site infection (n = 7, 6.79 %). Among independent predictors, the best performing variables were hospital LOS, ISS, creatinine, and ICU LOS (AUCs 0.88-0.78). Two deaths (1.94 %) were recorded in the infected subgroup at 10 and 34 days after admission. Conclusion: Pelvic ring and acetabular fractures are linked to high rates of infectious complications, due to high-energy trauma, prolonged hospital stays and acute kidney failure. Recognizing these associations can inform early clinical decision-making and resource allocation, ultimately improving patient outcomes.
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