Table 2.
NI-SIRS vs Non-SIRS Hospital Course of Femur Shaft Fracture Patients Undergoing Intramedullary Femoral Nailing.
| Variables | All (65,240) | Non-SIRS (64,575, 99.0 %) | NI-SIRS (665, 1.0 %) | NI-SIRS |
|
|---|---|---|---|---|---|
| OR (CI 95 %) | P value | ||||
| Complication Following Procedure* | 605 (0.9 %) | 585 (0.9 %) | 20 (3 %) | 3.392 (2.158–5.332) | <.001 |
| Osteomyelitis | 30 (0 %) | 30 (0 %) | 0 (0 %) | 1 (0.999–1) | 1 |
| Sepsis | 715 (1.1 %) | 705 (1.1 %) | 10 (1.5 %) | 1.383 (0.737–2.594) | 0.343 |
| Deep Vein Thrombosis | 1200 (1.8 %) | 1175 (1.8 %) | 25 (3.8 %) | 2.108 (1.408–3.156) | <.001 |
| Acute Kidney Injury | 4725 (7.2 %) | 4605 (7.1 %) | 120 (18 %) | 2.867 (2.348–3.502) | <.001 |
| Pulmonary Embolism | 930 (1.4 %) | 920 (1.4 %) | 10 (1.5 %) | 1.056 (0.564–1.979) | 0.868 |
| Myocardial Infarction | 370 (0.6 %) | 360 (0.6 %) | 10 (1.5 %) | 2.723 (1.446–5.129) | 0.005 |
| Aspiration Pneumonitis | 865 (1.3 %) | 860 (1.3 %) | 5 (0.8 %) | 0.561 (0.232–1.356) | 0.233 |
| Acute Respiratory Distress Syndrome | 195 (0.3 %) | 185 (0.3 %) | 10 (1.5 %) | 5.314 (2.799–10.087) | <.001 |
| Pneumonia | 2015 (3.1 %) | 1975 (3.1 %) | 40 (6 %) | 2.029 (1.469–2.801) | <.001 |
| Pulmonary Contusion | 6695 (10.3 %) | 6565 (10.2 %) | 130 (19.5 %) | 2.147 (1.77–2.605) | <.001 |
| Infection Post Procedure | 265 (0.4 %) | 260 (0.4 %) | 5 (0.8 %) | 1.874 (0.771–4.555) | 0.202 |
| Blood Transfusion | 10440 (16 %) | 10300 (16 %) | 140 (21.1 %) | 1.405 (1.165–1.695) | <.001 |
| Laparotomy | 40 (0.1 %) | 35 (0.1 %) | 5 (0.8 %) | 13.97 (5.456–35.768) | <.001 |
| Initial ExFix | 2205 (3.4 %) | 2165 (3.4 %) | 40 (6 %) | 1.845 (1.336–2.547) | <.001 |
| Late Exfix (After 48 h) | 105 (0.2 %) | 100 (0.2 %) | 5 (0.8 %) | 4.884 (1.983–12.031) | 0.005 |
| Inpatient Death | 530 (0.8 %) | 520 (0.8 %) | 10 (1.5 %) | 1.881 (1.001–3.533) | 0.052 |
| Routine Discharge | 30360 (46.5 %) | 30160 (46.7 %) | 200 (30.1 %) | 0.491 (0.416–0.58) | <.001 |
| Variables | Non-SIRS Mean (St. Dv.) | NI-SIRS Mean (St. Dv.) | P value | ||
|---|---|---|---|---|---|
| Length of Stay | 7.16 (±9.548) | 12.38 (±11.339) | <.001 | ||
| Total Charges | $145,118.69 (±$190,180.171) | $278,590.03 (±$282,236.037) | <.001 |
*Complications of surgical and medical care, not elsewhere classified.