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Prevalence of Surgical Site Infection After Hip Arthroplasty; a Systematic Review and Meta-Analysis
One of the worrisome complications of hip arthroplasty is surgical site infection (SSI). This study aimed to investigate the prevalence of SSI after hip arthroplasty. A comprehensive and systematic exploration was conducted across various international electronic databases, including Scopus, PubMed,...
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Published in: | Archives of academic emergency medicine 2024-01, Vol.12 (1), p.e54 |
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creator | Salehi, Reza Alizadeh-Otaghvar, Hamidreza Farhadi, Bahar Najafi, Masoomeh Torabi, Hossein Hojjati, Hamid Garrosi, Lida Mirzaei, Samira Farzan, Ramyar Kazemi-Sufi, Siamak |
description | One of the worrisome complications of hip arthroplasty is surgical site infection (SSI). This study aimed to investigate the prevalence of SSI after hip arthroplasty.
A comprehensive and systematic exploration was conducted across various international electronic databases, including Scopus, PubMed, and Web of Science, alongside Persian electronic databases such as Iranmedex and the Scientific Information Database (SID). This search strategy entailed the utilization of Medical Subject Headings-derived keywords such as "Prevalence," "Surgical wound infection," "Surgical site infection," and "Arthroplasty," spanning from the earliest records up to January 1, 2024. Each study's weight was assigned based on its inverse variance. A forest plot visualization was used to assess the studies' heterogeneity. Data on sample size and SSI frequency were compiled for each study to calculate the overall effect size.
The study encompassed a cumulative participant cohort of 1,070,638 hip arthroplasty procedures drawn from seventeen selected studies. Notably, the female gender constituted 59.10% of the overall participant demographic. The aggregate SSI among patients undergoing hip arthroplasty was estimated to be 1.9% (95% CI: 1.3% to 2.8%; I
=99.688%; P |
doi_str_mv | 10.22037/aaem.v12i1.2308 |
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A comprehensive and systematic exploration was conducted across various international electronic databases, including Scopus, PubMed, and Web of Science, alongside Persian electronic databases such as Iranmedex and the Scientific Information Database (SID). This search strategy entailed the utilization of Medical Subject Headings-derived keywords such as "Prevalence," "Surgical wound infection," "Surgical site infection," and "Arthroplasty," spanning from the earliest records up to January 1, 2024. Each study's weight was assigned based on its inverse variance. A forest plot visualization was used to assess the studies' heterogeneity. Data on sample size and SSI frequency were compiled for each study to calculate the overall effect size.
The study encompassed a cumulative participant cohort of 1,070,638 hip arthroplasty procedures drawn from seventeen selected studies. Notably, the female gender constituted 59.10% of the overall participant demographic. The aggregate SSI among patients undergoing hip arthroplasty was estimated to be 1.9% (95% CI: 1.3% to 2.8%; I
=99.688%; P<0.001). The results of the meta-regression analysis unveiled a statistically significant correlation between the prevalence of SSIs after hip arthroplasty and the year of publication (Coefficient=-0.0020; 95% CI: -0.0021 to -0.0018; Z=-19.39, P<0.001).
The study findings indicated a prevalence rate of 1.9% for SSI following hip arthroplasty. This prevalence underscores the importance of vigilance in infection prevention and management strategies within orthopedic surgery. However, it is essential to acknowledge the variability in SSI prevalence observed across diverse studies, which can be attributed to multifaceted factors, notably variances in patient populations and associated risk factors.</description><identifier>ISSN: 2645-4904</identifier><identifier>EISSN: 2645-4904</identifier><identifier>DOI: 10.22037/aaem.v12i1.2308</identifier><identifier>PMID: 39290768</identifier><language>eng</language><publisher>Iran: Shahid Beheshti University of Medical Sciences</publisher><subject>Arthroplasty ; Meta-analysis ; Prevalence ; Review ; Surgical site infection ; Surgical wound infection</subject><ispartof>Archives of academic emergency medicine, 2024-01, Vol.12 (1), p.e54</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407543/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407543/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39290768$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salehi, Reza</creatorcontrib><creatorcontrib>Alizadeh-Otaghvar, Hamidreza</creatorcontrib><creatorcontrib>Farhadi, Bahar</creatorcontrib><creatorcontrib>Najafi, Masoomeh</creatorcontrib><creatorcontrib>Torabi, Hossein</creatorcontrib><creatorcontrib>Hojjati, Hamid</creatorcontrib><creatorcontrib>Garrosi, Lida</creatorcontrib><creatorcontrib>Mirzaei, Samira</creatorcontrib><creatorcontrib>Farzan, Ramyar</creatorcontrib><creatorcontrib>Kazemi-Sufi, Siamak</creatorcontrib><title>Prevalence of Surgical Site Infection After Hip Arthroplasty; a Systematic Review and Meta-Analysis</title><title>Archives of academic emergency medicine</title><addtitle>Arch Acad Emerg Med</addtitle><description>One of the worrisome complications of hip arthroplasty is surgical site infection (SSI). This study aimed to investigate the prevalence of SSI after hip arthroplasty.
A comprehensive and systematic exploration was conducted across various international electronic databases, including Scopus, PubMed, and Web of Science, alongside Persian electronic databases such as Iranmedex and the Scientific Information Database (SID). This search strategy entailed the utilization of Medical Subject Headings-derived keywords such as "Prevalence," "Surgical wound infection," "Surgical site infection," and "Arthroplasty," spanning from the earliest records up to January 1, 2024. Each study's weight was assigned based on its inverse variance. A forest plot visualization was used to assess the studies' heterogeneity. Data on sample size and SSI frequency were compiled for each study to calculate the overall effect size.
The study encompassed a cumulative participant cohort of 1,070,638 hip arthroplasty procedures drawn from seventeen selected studies. Notably, the female gender constituted 59.10% of the overall participant demographic. The aggregate SSI among patients undergoing hip arthroplasty was estimated to be 1.9% (95% CI: 1.3% to 2.8%; I
=99.688%; P<0.001). The results of the meta-regression analysis unveiled a statistically significant correlation between the prevalence of SSIs after hip arthroplasty and the year of publication (Coefficient=-0.0020; 95% CI: -0.0021 to -0.0018; Z=-19.39, P<0.001).
The study findings indicated a prevalence rate of 1.9% for SSI following hip arthroplasty. This prevalence underscores the importance of vigilance in infection prevention and management strategies within orthopedic surgery. However, it is essential to acknowledge the variability in SSI prevalence observed across diverse studies, which can be attributed to multifaceted factors, notably variances in patient populations and associated risk factors.</description><subject>Arthroplasty</subject><subject>Meta-analysis</subject><subject>Prevalence</subject><subject>Review</subject><subject>Surgical site infection</subject><subject>Surgical wound infection</subject><issn>2645-4904</issn><issn>2645-4904</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkc1rFEEQxQdRTIi5e5I-epm1vz_wIEtQsxBRXD0PNT3Vmw4z02t378r-9w4mSnKqoqr4vcerpnnN6IpzKsw7AJxWR8YjW3FB7bPmnGupWumofP6oP2suS7mjlHLGGZXmZXMmHHfUaHve-G8ZjzDi7JGkQLaHvIseRrKNFclmDuhrTDNZh4qZXMc9Wed6m9N-hFJP7wmQ7alUnKBGT77jMeJvAvNAvmCFdj3DeCqxvGpeBBgLXj7Ui-bnp48_rq7bm6-fN1frm3bgWtTWS2etdYMyTBrLmNC2N65HNQTmUPe91z0EzZWgTKKlmnKlqA4hMCFU8OKi2dxzhwR33T7HCfKpSxC7v4OUdx3kxeiInTFCGb8EaLGXHgUMFIJdQu3ZwrRuYX24Z-0P_YSDx7lmGJ9An27meNvt0rFjTFKjpFgIbx8IOf06YKndFIvHcYQZ06F0glEtNXfCLKdvHov9V_n3JvEHIqKWiA</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Salehi, Reza</creator><creator>Alizadeh-Otaghvar, Hamidreza</creator><creator>Farhadi, Bahar</creator><creator>Najafi, Masoomeh</creator><creator>Torabi, Hossein</creator><creator>Hojjati, Hamid</creator><creator>Garrosi, Lida</creator><creator>Mirzaei, Samira</creator><creator>Farzan, Ramyar</creator><creator>Kazemi-Sufi, Siamak</creator><general>Shahid Beheshti University of Medical Sciences</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240101</creationdate><title>Prevalence of Surgical Site Infection After Hip Arthroplasty; a Systematic Review and Meta-Analysis</title><author>Salehi, Reza ; Alizadeh-Otaghvar, Hamidreza ; Farhadi, Bahar ; Najafi, Masoomeh ; Torabi, Hossein ; Hojjati, Hamid ; Garrosi, Lida ; Mirzaei, Samira ; Farzan, Ramyar ; Kazemi-Sufi, Siamak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d263t-c498889d57147811368b79be5df19e6bbc6baf6253014e806025506fff1335fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arthroplasty</topic><topic>Meta-analysis</topic><topic>Prevalence</topic><topic>Review</topic><topic>Surgical site infection</topic><topic>Surgical wound infection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salehi, Reza</creatorcontrib><creatorcontrib>Alizadeh-Otaghvar, Hamidreza</creatorcontrib><creatorcontrib>Farhadi, Bahar</creatorcontrib><creatorcontrib>Najafi, Masoomeh</creatorcontrib><creatorcontrib>Torabi, Hossein</creatorcontrib><creatorcontrib>Hojjati, Hamid</creatorcontrib><creatorcontrib>Garrosi, Lida</creatorcontrib><creatorcontrib>Mirzaei, Samira</creatorcontrib><creatorcontrib>Farzan, Ramyar</creatorcontrib><creatorcontrib>Kazemi-Sufi, Siamak</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Archives of academic emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salehi, Reza</au><au>Alizadeh-Otaghvar, Hamidreza</au><au>Farhadi, Bahar</au><au>Najafi, Masoomeh</au><au>Torabi, Hossein</au><au>Hojjati, Hamid</au><au>Garrosi, Lida</au><au>Mirzaei, Samira</au><au>Farzan, Ramyar</au><au>Kazemi-Sufi, Siamak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Surgical Site Infection After Hip Arthroplasty; a Systematic Review and Meta-Analysis</atitle><jtitle>Archives of academic emergency medicine</jtitle><addtitle>Arch Acad Emerg Med</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>12</volume><issue>1</issue><spage>e54</spage><pages>e54-</pages><issn>2645-4904</issn><eissn>2645-4904</eissn><abstract>One of the worrisome complications of hip arthroplasty is surgical site infection (SSI). This study aimed to investigate the prevalence of SSI after hip arthroplasty.
A comprehensive and systematic exploration was conducted across various international electronic databases, including Scopus, PubMed, and Web of Science, alongside Persian electronic databases such as Iranmedex and the Scientific Information Database (SID). This search strategy entailed the utilization of Medical Subject Headings-derived keywords such as "Prevalence," "Surgical wound infection," "Surgical site infection," and "Arthroplasty," spanning from the earliest records up to January 1, 2024. Each study's weight was assigned based on its inverse variance. A forest plot visualization was used to assess the studies' heterogeneity. Data on sample size and SSI frequency were compiled for each study to calculate the overall effect size.
The study encompassed a cumulative participant cohort of 1,070,638 hip arthroplasty procedures drawn from seventeen selected studies. Notably, the female gender constituted 59.10% of the overall participant demographic. The aggregate SSI among patients undergoing hip arthroplasty was estimated to be 1.9% (95% CI: 1.3% to 2.8%; I
=99.688%; P<0.001). The results of the meta-regression analysis unveiled a statistically significant correlation between the prevalence of SSIs after hip arthroplasty and the year of publication (Coefficient=-0.0020; 95% CI: -0.0021 to -0.0018; Z=-19.39, P<0.001).
The study findings indicated a prevalence rate of 1.9% for SSI following hip arthroplasty. This prevalence underscores the importance of vigilance in infection prevention and management strategies within orthopedic surgery. However, it is essential to acknowledge the variability in SSI prevalence observed across diverse studies, which can be attributed to multifaceted factors, notably variances in patient populations and associated risk factors.</abstract><cop>Iran</cop><pub>Shahid Beheshti University of Medical Sciences</pub><pmid>39290768</pmid><doi>10.22037/aaem.v12i1.2308</doi><oa>free_for_read</oa></addata></record> |
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subjects | Arthroplasty Meta-analysis Prevalence Review Surgical site infection Surgical wound infection |
title | Prevalence of Surgical Site Infection After Hip Arthroplasty; a Systematic Review and Meta-Analysis |
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