The Incidence of and Risk Factors for 30-Day Surgical Site Infections Following Primary and Revision Total Joint Arthroplasty

Andrew J Pugely; Christopher T Martin; Yubo Gao; Marin L Schweizer; John J Callaghan

doi:10.1016/j.arth.2015.01.063

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The Incidence of and Risk Factors for 30-Day Surgical Site Infections Following Primary and Revision Total Joint Arthroplasty

Journal article

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The Incidence of and Risk Factors for 30-Day Surgical Site Infections Following Primary and Revision Total Joint Arthroplasty

Andrew J Pugely, Christopher T Martin, Yubo Gao, Marin L Schweizer and John J Callaghan

The Journal of arthroplasty, Vol.30(9), pp.47-50

09/2015

DOI: 10.1016/j.arth.2015.01.063

PMID: 26071247

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Abstract

The authors assessed the incidence of and risk factors associated with 30-day surgical site infections (SSIs) following primary (p) and revision (r) THA and TKA. In total, 23,128 primary and 2170 revision TJAs were identified between 2005 and 2010 in the ACS NSQIP database. The 30-day SSI rates, overall and deep, were 1.1 and 0.1% for pTKA, 1.18 and 0.4% for pTHA, 1.68 and 0.7% for rTKA, and 2.9 and 1.7% for rTHA. After primary TJA, independent risk factors were BMI>40, hypertension, prolonged operative time, electrolyte disturbance and previous infection, and after revision TJA, dyspnea and bleeding disorder were risk factors. This study should help provide benchmark data for SSI following TJA.

total knee arthroplasty

total hip arthroplasty

ACS NSQIP

surgical site infection

revision

Primary

Details

Title: Subtitle: The Incidence of and Risk Factors for 30-Day Surgical Site Infections Following Primary and Revision Total Joint Arthroplasty
Creators: Andrew J Pugely - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Christopher T Martin - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Yubo Gao - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Marin L Schweizer - The Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa
John J Callaghan - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Resource Type: Journal article
Publication Details: The Journal of arthroplasty, Vol.30(9), pp.47-50
Publisher: Elsevier Inc
DOI: 10.1016/j.arth.2015.01.063
PMID: 26071247
ISSN: 0883-5403
eISSN: 1532-8406
Language: English
Date published: 09/2015
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Epidemiology; Orthopedics and Rehabilitation; General Internal Medicine; Internal Medicine
Record Identifier: 9984040270002771

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