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. 2023 Oct 31;46:107–111. doi: 10.1016/j.jor.2023.10.030

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) 12.3811.339) <.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.