Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 4 Postoperative care data for grouped periprosthetic fractures (PPF), humeral shoulder PPF, humeral elbow PPF, pelvic hip PPF, femoral Hip PPF, femoral knee PPF, tibial knee PPF, and tibial ankle PPF [humeral elbow (n = 4), patellar (n = 5), and tibial ankle (n = 10) PPF are not included]
| Â | PPF | Humeral shoulder PPF | Pelvic hip PPF | Femoral hip PPF | Femoral knee PPF | Tibial knee PPF |
|---|---|---|---|---|---|---|
N = 1387 | N = 32 | N = 31 | N = 720 | N = 544 | N  = 41 | |
In-hospital mortality | ||||||
 Alive | 1311 (94.5) | 32 (100) | 30 (96.8) | 673 (93.5) | 518 (95.2) | 40 (97.6) |
 Died before surgery | 24 (1.7) | 0 (0) | 0 (0) | 19 (2.6) | 5 (0.9) | 0 (0) |
 Died in surgery | 2 (0.1) | 0 (0) | 0 (0) | 0 (0) | 2 (0.4) | 0 (0) |
 Died after surgery | 46 (3.3) | 0 (0) | 1 (3.2) | 26 (3.6) | 18 (3.3) | 0 (0) |
 N/A | 4 (0.3) | 0 (0) | 0 (0) | 2 (0.3) | 1 (0.2) | 1 (2.4) |
Presence of medical complications during hospital stay | ||||||
 No | 804 (58) | 27 (84.4) | 22 (71) | 410 (56.9) | 303 (55.7) | 27 (65.9) |
 Yes (any) | 583 (42) | 5 (15.6) | 9 (29) | 310 (43.1) | 241 (44.3) | 14 (34.1) |
 Cardiac | 144 (24.7) | 2 (40) | 4 (44.4) | 73 (23.5) | 61 (25.3) | 3 (21.4) |
 Pulmonary | 163 (28) | 2 (40) | 4 (44.4) | 93 (30) | 60 (24.9) | 3 (21.4) |
 Pulmonary thromboembolism | 9 (1.5) | 0 (0) | 0 (0) | 5 (1.6) | 3 (1.2) | 0 (0) |
 Renal | 183 (31.4) | 2 (40) | 3 (33.3) | 99 (31.9) | 76 (31.5) | 2 (14.3) |
 Cerebral | 19 (3.3) | 0 (0) | 0 (0) | 12 (3.9) | 6 (2.5) | 1 (7.1) |
 Gastrointestinal | 100 (17.2) | 0 (0) | 0 (0) | 62 (20) | 36 (14.9) | 2 (14.3) |
 Urinary tract infection | 122 (20.9) | 1 (20) | 1 (11.1) | 70 (22.6) | 50 (20.7) | 0 (0) |
 Delirium | 223 (38.3) | 2 (40) | 2 (22.2) | 116 (37.4) | 99 (41.1) | 4 (28.6) |
 In-hospital fractures | 11 (1.9) | 0 (0) | 0 (0) | 5 (1.6) | 4 (1.7) | 1 (7.1) |
Medical staff involved in the patient care (other than trauma and anaesthesia) | ||||||
 No | 362 (26.1) | 23 (71.9) | 9 29) | 178 (24.7) | 120 (22.1) | 19 (46.3) |
 Geriatrician | 403 (29.1) | 1 (3.1) | 8 (25.8) | 213 (29.6) | 169 (31.1) | 10 (24.4) |
 Internal medicine | 393 (28.3) | 5 (15.6) | 5 (16.1) | 205 (28.5) | 172 (31.6) | 4 (9.8) |
 Geriatrician and others | 145 (10.5) | 1 (3.1) | 4 (12.9) | 84 (11.7) | 51 (9.4) | 5 (12.2) |
 Others | 78 (5.6) | 2 (6.2) | 4 (12.99 | 37 (5.1) | 31 (5.7) | 2 (4.9) |
 N/A | 6 (0.4) | 0 (0) | 1 (3.2) | 3 (0.4) | 1 (0.2) | 1 (2.4) |
Initial postoperative mobilization out of bed | ||||||
  < 24 h | 449 (32.4) | 29 (90.6) | 12 (38.7) | 223 (31) | 154 (28.3) | 17 (41.5) |
 24–48 h | 546 (39.4) | 3 (9.4) | 10 (32.3) | 273 (37.9) | 247 (45.4) | 10 (24.4) |
  > 48 h | 353 (25.5) | 0 (0) | 8 (25.8) | 200 (27.8) | 132 (24.3) | 11 (26.8) |
 N/A | 39 (2.8) | 0 (0) | 1 (3.2) | 24 (3.3) | 11 (2) | 3 (7.3) |
Weight-bearing restrictions | ||||||
 No restrictions | 477 (34.4) | 29 (90.6) | 6 (19.4) | 233 (32.4) | 197 (36.2) | 5 (12.2) |
 Only for transfers | 177 (12.8) | 1 (3.1) | 5 (16.1) | 105 (14.6) | 64 (11.8) | 2 (5.3) |
 Not allowed | 696 (50.2) | 2 (6.2) | 19 (61.3) | 361 (50.1) | 272 (50) | 31 (75.6) |
 N/A | 37 (2.7) | 0 (0) | 1 (3.2) | 21 (2.9) | 11 (2) | 3 (7.3) |
Ability to walk at hospital discharge | ||||||
 Yes | 905 (65.2) | 32 (100) | 24 (77.4) | 485 (67.4) | 355 (65.3) | 30 (73.2) |
 No | 427 (30.8) | 0 (0) | 6 (19.4) | 206 (28.6) | 170 (31.2) | 6 (14.6) |
 N/A | 55 (4) | 0 (0) | 1 (3.2) | 29 (4.1) | 19 (3.5) | 5 (12.2) |
Destination at hospital discharge | ||||||
 Home | 787 (56.7) | 29 (90.6) | 18 (58.1) | 407 (56.5) | 293 (53.9) | 24 (58.5) |
 Nursing home | 453 (32.7) | 2 (6.) | 11 (35.5) | 239 (33.2) | 187 (34.4) | 12 (29.3) |
 Hospital | 63 (4.5) | 1 (3.1) | 0 (0) | 26 (3.6) | 33 (6.1) | 3 (7.3) |
 N/A | 84 (6) | 0 (0) | 2 (6.5) | 48 (6.7) | 31 (5.7) | 2 (4.9) |
Osteoprotective treatment at discharge+ | ||||||
 No treatment | 669 (48.2) | 21 (65.6) | 10 (32.3) | 348 (48.3) | 253 (46.5) | 26 (63.4) |
 Osteoprotective treatment | 718 (51.8) | 11 (34.3) | 21 (67.7) | 372 (51.7) | 291 (53.5) | 15 (36.6) |
 Anti-resorptive | 264 (36.8) | 1 (9.1) | 6 (28.6) | 144 (38.7) | 105 (36.1) | 7 (46.7) |
 Bone-forming | 47 (6.5) | 2 (18.2) | 4 (19) | 20 (5.4) | 19 (6.5) | 2 (13.3) |
 Calcium | 428 (59.6) | 5 (45.5) | 10 (47.6) | 215 (42.2) | 184 (63.2) | 8 (53.3) |
 Vitamin D | 560 (78) | 9 (81.8) | 19 (90.5) | 287 (77.2) | 227 (78) | 11 (73.3) |
Total length of hospital stay (h) | ||||||
 Median (IQR) | 245 (164–370.9) | 198 (129.5–295.3) | 228.7 (117.1–393.7) | 260 (163.5–405.4) | 234.6 (166.8–336.6) | 261.5 (106.5–451.3) |
 N/A | 84 (6.1) | 0 (0) | 2 (6.5) | 51 (7.1) | 28 (5.1) | 2 (4.9) |
Postoperative length of hospital stay (h) | ||||||
 Median (IQR) | 168 (96–264) | 48 (48–102) | 168 (138–264) | 168 (120–288) | 144 (96–216) | 120 (72–264) |
 N/A | 312 (22.5) | 4 (12.5) | 15 (48.4) | 200 (27.8) | 73 (13.4) | 16 (39) |
Level of haemoglobin after surgical treatment | ||||||
 Median (IQR) | 9.6 (8.7–10.7) | 10.3 (9.3–11.7) | 10 (8.7–11.7) | 9.7 (8.7–10.9) | 9.4 (8.6–10.4) | 10.3 (9.6–12–2) |
 N/A | 91 (6.6) | 5 (15.6) | 5 (16.1) | 51 (7.1) | 15 (2.8) | 9 (22) |
Difference in haemoglobin level* | ||||||
 Median (IQR) | 2.3 (0.9–3.6) | 2.4 (0.9–3.3) | 1.5 (0.4–3.2) | 2.2 (0.8–3.7) | 2.6 (1.1–3.7) | 1.7 (0.6–2.3) |
 N/A | 91 (6.6) | 5 (15.6) | 5 (16.1) | 51 (7.1) | 15 (2.8) | 9 (22) |
Management of the anaemia | ||||||
 No | 487 (35.1) | 27 (84.4) | 13 (41.9) | 252 (35) | 158 (29) | 21 (51.2) |
 Transfusion | 710 (78.9) | 3 (60) | 11 (61.1) | 374 (51.9) | 307 (56.4) | 13 (65) |
 Intravenous iron | 389 (43.2) | 2 (40) | 8 (44.4) | 207 (28.8) | 163 (30) | 8 (40) |