Quality of life and therapeutic adherence in patients treated for an orthopedic hardware infection: A prospective observational study - 16/10/24
, Agathe Couturaud a, Elise Fiaux b, Abdeljalil Zeggay b, Thibaut Sabatier c, Annaelle Soubieux d, Franck Dujardin a, Jonathan Curado aHighlights |
• | Postoperative hardware infection is a common complication in orthopedic surgery. |
• | Antibiotic therapy may be associated with multiple side effects. |
• | Hardware infection in orthopedic surgery decreases quality of life. |
• | Patients reported lower adherence to antibiotic therapy resulting from the side effects. |
Abstract |
Objectives |
In France, hardware infections occur in 1% of patients following orthopedic surgery. The study aimed to evaluate the quality of life (QoL) and adherence to antibiotic therapy of patients with an orthopedic hardware infection in the postoperative period.
Patients and methods |
A prospective observational study was conducted at Rouen University Hospital from May 2022 to May 2023. QoL was evaluated using the Short Form Health Survey (SF-36) and therapeutic adherence using the Girerd questionnaire. These forms were filled out by patients during routine follow-up visits at 6- and 12-week follow-up. A cohort of patients with a non-hardware infection was constituted to compare cases and controls. They were paired according to age, sex, and site of index surgery.
Results |
Seventy-nine patients were enrolled as cases and 158 patients as controls. At six weeks and at 12 weeks, significant decreases were observed in 8/8 and 4/8 sub scores of SF-36, respectively (p < 0.05).
Among patients discharged to their homes, at 12 weeks, 30.4 % of patients reported high therapeutic adherence compared to 66.7 % of patients discharged to postoperative care.
Conclusion |
Patients treated for postoperative hardware infections following orthopedic surgery reported a significant decrease in QoL and lower therapeutic adherence, particularly when discharged to their homes.
Le texte complet de cet article est disponible en PDF.Keywords : Postoperative infection, Orthopedics, Antibiotics, Quality of life, Therapeutic adherence
Plan
Vol 54 - N° 7
Article 104976- octobre 2024 Retour au numéro
Article précédent
- The effects of the SARS-CoV-2 pandemic on the delivery of maternal and child health services in South Africa
- Ellen Iileka, Maryke Geldenhuys, Juliet Charity Yauka Nyasulu
- Underdiagnosis of arbovirus infections in returned travelers in an area with growing circulation of Aedes albopictus in North-Eastern France
- Assilina Parfut, Pierre Gantner, Baptiste Hoellinger, Lorraine Ferreira, Morgane Biry, Yves Hansmann, Denis Filisetti, Samira Fafi-Kremer, Julie Brunet, Aurélie Velay
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?