Table 2.
Patient and procedure related risk factors for revision due to infection after primary TKA
Variables | No | RR (95% CI) Unadjusted p-value |
RR (95% CI) Adjusted |
p-value | |
---|---|---|---|---|---|
Age | |||||
60-69 | 9717 | 1 | 1 | ||
< 60 | 4989 | 0.9 (0.7-1.3) | 0.7 | 0.9 (0.7-1.3) | 0.6 |
70-79 | 10,009 | 0.8 (0.6-1.0) | 0.1 | 0.8 (0.6-1.1) | 0.1 |
> 80 | 3547 | 0.7 (0.5-1.1) | 0.1 | 0.7 (0.5-1.1) | 0.1 |
Sex | |||||
men | 10,186 | 1 | 1 | ||
women | 18,076 | 0.5 (0.4-0.6) | <0.001 | 0.5 (0.4-0.6) | <0.001 |
Diagnosis | |||||
OAa | 25,152 | 1 | 1 | ||
Otherb | 3110 | 1.6 (1.2-2.1) | 0.004 | 1.4 (1.0-2.0) | 0.04 |
ASA | |||||
1 | 4167 | 1 | 1 | ||
2 | 17,918 | 1.1 (0.8-1.5) | 0.7 | 1.2 (0.8-1.7) | 0.4 |
3+ | 5621 | 1.7 (1.2-2.5) | 0.005 | 1.8 (1.2-2.7) | 0.003 |
Hospital volume | |||||
1-49 | 3953 | 1 | 1 | ||
50-99 | 10,615 | 1.1 (0.8-1.6) | 0.5 | 1.1(0.8-1.6) | 0.5 |
100-149 | 6379 | 1.2 (0.8-1.7) | 0.4 | 1.1 (0.7-1.7) | 0.6 |
≥ 150 | 7315 | 1.2 (0.8-1.7) | 0.4 | 1.1 (0.7-1.7) | 0.6 |
Perioperative complications | |||||
no | 27,068 | 1 | 1 | ||
yes | 640 | 2.3 (1.4-3.9) | 0.002 | 2.1 (1.3-3.6) | 0.004 |
Computer navigation | |||||
no | 23,626 | 1 | 1 | ||
yes | 2462 | 1.0 (0.7-1.5) | 1.0 | 1.0 (0.7-1.5) | 1.0 |
Prior fracturec | |||||
no | 27,711 | 1 | 1 | ||
yes | 551 | 2.20(1.1-3.6) | 0.02 | 1.5 (0.8-2.7) | 0.2 |
Prior osteotomyd | |||||
no | 27,377 | 1 | 1 | ||
yes | 885 | 0.9 (0.5-1.8) | 0.8 | 0.8 (0.4-1.5) | 0.5 |
TKA implant brands | |||||
LCS Complete | 8752 | 1 | 1 | ||
AGC | 2233 | 0.8 (0.5-1.3) | 0.3 | 0.8 (0.5-1.3) | 0.3 |
LCS | 516 | 1.1 (0.5-2.3) | 0.9 | 1.3 (0.6-2.9) | 0.5 |
Duracon | 2043 | 1.6 (1.1-2.3) | 0.02 | 1.5 (0.8-2.7) | 0.2 |
NexGen | 4717 | 1.2 (0.8-1.6) | 0.4 | 1.0 (0.7-1.4) | 1.0 |
Profix | 6286 | 0.9 (0.6-1.2) | 0.4 | 0.9 (0.6-1.2) | 0.4 |
PFC Sigma | 697 | 1.0 (0.4-2.3) | 1.0 | 0.9 (0.4-2.0) | 0.7 |
Triathlon | 1317 | 1.0 (0.6-1.8) | 1.0 | 0.9 (0.5-1.5) | 0.6 |
Vanguard TM | 741 | 0.3 (0.1-1.0) | 0.06 | 0.2 (0.1-0.8) | 0.03 |
Otherse | 955 | 0.4 (0.1-1.0) | 0.05 | 0.4 (0.1-1.0) | 0.06 |
Time Period | |||||
2005-2009 | 12,362 | 1 | 1 | ||
2010-2014 | 15,900 | 1.3 (1.0-1.6) | 0.03 | 1.3 (1.0-1.6) | 0.08 |
aOA = Osteoarthritis
bOther = other diagnosis than osteoarthritis, e.g. inflammatory diseases
cIntraarticular fracture or fracture in proximity to the joint with previous osteosynthesis
dPrevious knee osteotomy for knee malalignment
eImplant brands used in smaller numbers than 500 during the time period from 2005 to 2014