Research Article

Japanese Herbal Kampo Hochu-Ekki-To or Juzen-Taiho-To after Surgery for Hip Fracture Does Not Reduce Infectious Complications

Table 1

Baseline characteristics before and after propensity score matching.

Prematching cohort Propensity score matched cohort
ControlKampoSMDControlKampoSMD

Age, years, mean (SD) 82.1 (9.5) 83.0 (8.0)0.110 83.2 (8.8) 83.0 (8.0)0.022
Gender, (Female)158327 (78.6)332 (78.3)0.007334 (78.8)332 (78.3)0.011
BMI, kg/m2, mean (SD) 20.6 (3.6) 19.7 (3.6)0.247 19.6 (3.4) 19.7 (3.6)0.029
Charlson comorbidity
 Myocardial infarction 2702 (1.3) 3 (0.7)0.063 8 (1.9) 3 (0.7)0.104
 Congestive heart disease 15246 (7.6) 30 (7.1)0.019 30 (7.1) 30 (7.1)<0.001
 Peripheral vascular disease 2766 (1.4) 10 (2.4)0.073 9 (2.1) 10 (2.4)0.016
 Cerebrovascular disease 20739 (10.3) 34 (8.0)0.079 32 (7.5) 34 (8.0)0.018
 Dementia 26861 (13.3) 62 (14.6)0.037 68 (16.0) 62 (14.6)0.039
 Chronic pulmonary disease 8368 (4.2) 35 (8.3)0.171 44 (10.4) 35 (8.3)0.073
 Rheumatic disease 4194 (2.1) 10 (2.4)0.019 7 (1.7) 10 (2.4)0.050
 Peptic ulcer 7915 (3.9) 31 (7.3)0.147 31 (7.3) 31 (7.3)<0.001
 Liver disease9324 (4.6)24 (5.7)0.047 31 (7.3) 24 (5.7)0.067
 DM without complications 30028 (14.9) 50 (11.8)0.092 57 (13.4) 50 (11.8)0.050
 DM with complications 5628 (2.8) 10 (2.4)0.027 11 (2.6) 10 (2.4)0.015
 Hemiparaplegia 967 (0.5) 0 (0.0)0.098 2 (0.5) 0 (0.0)0.097
 Renal disease 8508 (4.2) 18 (4.2)0.001 21 (5.0) 18 (4.2)0.034
 Malignancy 8426 (4.2) 37 (8.7)0.186 35 (8.3) 37 (8.7)0.017
 Metastatic cancer 953 (0.5) 10 (2.4)0.160 8 (1.9) 10 (2.4)0.033
Antibiotic use within 7 days of surgery186699 (92.7)424 (100)0.398386 (91.0)424 (100)0.444
Mechanical ventilation within 7 days of surgery 784 (0.4) 0 (0.0)0.088 1 (0.2) 0 (0.0)0.069
Catecholamine use within 7 days of surgery 11526 (5.7) 30 (7.1)0.055 26 (6.1) 30 (7.1)0.038
Transfusion within 7 days of surgery 54494 (27.0)131 (30.9)0.085131 (30.9)131 (30.9)<0.001
Renal replacement therapy within 7 days of surgery 661 (0.3) 1 (0.2)0.017 2 (0.5) 1 (0.2)0.040
High intensity care unit admission within 7 days of surgery 8470 (4.2) 14 (3.3)0.047 10 (2.4) 14 (3.3)0.057
Fracture location0.0590.078
 Neck104352 (51.8)232 (54.7)222 (52.4)232 (54.7)
 Intertrochanteric 92156 (45.7)182 (42.9)187 (44.1)182 (42.9)
 Subtrochanteric 4968 (2.5) 10 (2.4) 15 (3.5) 10 (2.4)
Type of surgery0.0320.049
 Open reduction and internal fixation131393 (65.2)270 (63.7)280 (66.0)270 (63.7)
 Hemiarthroplasty 70083 (34.8)154 (36.3)144 (34.0)154 (36.3)
Anesthesia time category, min0.1130.078
 -120140345 (69.7)310 (73.1)322 (75.9)310 (73.1)
 121–180 46834 (23.2) 94 (22.2) 81 (19.1) 94 (22.2)
 181–240 9857 (4.9) 15 (3.5) 15 (3.5) 15 (3.5)
 241- 4440 (2.2) 5 (1.2) 6 (1.4) 5 (1.2)
Transfusion volume category, mL0.1240.090
 0126060 (62.6)243 (57.3)240 (56.6)243 (57.3)
 1–200 6090 (3.0) 12 (2.8) 12 (2.8) 12 (2.8)
 201–400 32747 (16.3) 77 (18.2) 88 (20.8) 77 (18.2)
 401–600 23752 (11.8) 55 (13.0) 55 (13.0) 55 (13.0)
 601- 12827 (6.4) 37 (8.7) 29 (6.8) 37 (8.7)
Interval between admission and surgery, days, mean (SD) 5.3 (7.3) 5.7 (5.3)0.066 5.7 (4.7) 5.7 (5.3)0.009
Hospital volume of surgery for hip fractures/year, mean (SD)224 (135)215 (156)0.060220.8 (124.1)215.2 (156.1)0.040
Fiscal year0.1470.022
 2010 29851 (14.8) 70 (16.5) 73 (17.2) 70 (16.5)
 2011 51846 (25.7)121 (28.5)120 (28.3)121 (28.5)
 2012 61030 (30.3)101 (23.8)102 (24.1)101 (23.8)
 2013 58749 (29.2)132 (31.1)129 (30.4)132 (31.1)
Academic hospital 9766 (4.8) 12 (2.8)0.105 10 (2.4) 12 (2.8)0.030
Transferred by ambulance104264 (51.8)217 (51.2)0.011213 (50.2)217 (51.2)0.019
Number of beds categories0.1090.079
 -200 27331 (13.6) 61 (14.4) 61 (14.4) 61 (14.4)
 201–400 86723 (43.0)164 (38.7)167 (39.4)164 (38.7)
 401–600 61855 (30.7)149 (35.1)153 (36.1)149 (35.1)
 601–800 18835 (9.3) 37 (8.7) 35 (8.3) 37 (8.7)
 801- 6732 (3.3) 13 (3.1) 8 (1.9) 13 (3.1)

Numbers and percentages are presented unless otherwise stated. SD, standard deviation; SMD, standardized mean difference; BMI, body mass index; DM, diabetes mellitus.