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Interdisciplinary Perspectives on Infectious Diseases
Volume 2010, Article ID 615604, 6 pages
http://dx.doi.org/10.1155/2010/615604
Research Article

Role of Mental Disorders in Nosocomial Infections after Hip Fracture Treatment

1Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella, 29603 Málaga, Spain
2Department of Research, Statistics, and Epidemiology, CIBERESP, Hospital Costa del Sol, University of Malaga, Marbella, 29603 Málaga, Spain

Received 19 August 2009; Revised 12 December 2009; Accepted 5 April 2010

Academic Editor: Kenrad Nelson

Copyright © 2010 Enrique Guerado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The association between mental disorders (MDs) and iatrogenic complications after hip fracture surgery has been poorly studied. Among iatrogenic complications, nosocomial infections (NIs) are a major factor in hip fracture surgery. The aim of this paper was to determine whether patients with a MD and a hip fracture develop more NIs after hip surgery than patients with no MD. We studied 912 patients who underwent surgery for a hip fracture (223 patients with a MD who underwent surgery for a hip fracture and 689 control patients without a MD who also underwent surgery for a hip fracture) and followed them after surgery. Univariable and multivariable analyses were performed using simple and multiple logistic regression analysis (confidence interval, crude and adjusted odds ratios, and value). We found that MDs, gender, and comorbidities were not associated with a higher risk of developing a NI after surgery for a hip fracture. Only age increases the risk of a NI.