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

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 r...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-09, Vol.30 (9), p.47-50
Main Authors: Pugely, Andrew J., MD, Martin, Christopher T., MD, Gao, Yubo, PhD, Schweizer, Marin L., PhD, Callaghan, John J., MD
Format: Article
Language:English
Subjects:
ACS NSQIP
Aged
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Blood Coagulation Disorders - complications
Databases, Factual
Dyspnea - complications
Electrolytes - blood
Female
Humans
Hypertension - complications
Incidence
Male
Middle Aged
Multivariate Analysis
Operative Time
Orthopedics
primary
Reoperation - adverse effects
revision
Risk Factors
surgical site infection
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
total hip arthroplasty
total knee arthroplasty
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Summary: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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.01.063