Abstract：
BACKGROUND AND OBJECTIVE:To know the frequency of nosocomial infection (NI) in surgical hip fracture patients and to analyze the risk factors that favor the NI development, especially its relationship with allogeneic blood transfusion (ABT) and intravenous iron administration. PATIENTS AND METHOD:Unicenter prospective observational study of all hip fracture surgery patients during 8 months. The demographic, clinical and hematimetric differences between the infected and not infected patients were described. A logistic regression analysis was made to know the variables that predicted NI development. RESULTS:26.1% of all 286 patients studied developed NI, urinary infection being the most frequent. The existence of lower hemoglobin or ferritin levels at admission, as well as increased values in ASA (American Society of Anesthesiologists) scale were associated with a greater risk of NI development. ABT and the number of red blood cell units transfused were also associated with an increase of the NI risk. No relationship between intravenous iron administration and NI was found. CONCLUSIONS:Lower haemoglobin and ferritin levels and ABT are associated with an increasing NI risk in surgical hip fracture patients. Thus, in order to decrease the frequency of NI in surgical patients, the development of blood saving protocols including intravenous iron administration would be recommendable.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Izuel Rami M,García Erce JA,Gómez-Barrera M,Cuenca Espiérrez J,Abad Sazatornil R,Rabanaque Hernández MJdoi
10.1157/13128722subject
Has Abstractpub_date
2008-11-15 00:00:00pages
647-52issue
17eissn
0025-7753issn
1578-8989pii
S0025-7753(08)75458-7journal_volume
131pub_type
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