Seasonal Influence on Postoperative Complications after Total Knee Arthroplasty
The Journal of Korean Knee Society
; : 42-49, 2018.
Article
en En
| WPRIM
| ID: wpr-759306
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: This study is aimed at investigating whether inpatient complications and surgical site infections (SSIs) occurred more commonly in patients undergoing total knee arthroplasty (TKA) during the summer season. MATERIALS AND METHODS: A total of 725 patients who underwent unilateral or bilateral TKA were included in this study. A total of 241 patients (33.2%) underwent TKA between May and August. Our outcomes of interest were the incidence of postoperative complications and length of stay. RESULTS: May–August surgeries were associated with a higher risk of postoperative inpatient complications (p=0.003). May–August surgeries (odds ratio [OR], 2.13; 95% confidence interval [CI], 1.18 to 3.85), postoperative transfusion (OR, 2.46; 95% CI, 1.43 to 4.26), postoperative special care unit stay (OR, 4.68; 95% CI, 1.99 to 11.0) and chronic kidney disease (OR, 3.27; 95% CI, 1.15 to 9.28) were associated with a higher odds of developing inpatient complications. No association was present between summer surgeries and SSIs (p=0.486). CONCLUSIONS: The results of this study show that overall complication rates following TKA exhibit a seasonal trend, with a peak during the summer months. These results may have some implication in clinical practice and stricter approaches to hospital guidelines during the summer months.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
/
Artroplastia
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Estaciones del Año
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Infección de la Herida Quirúrgica
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Incidencia
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Artroplastia de Reemplazo de Rodilla
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Insuficiencia Renal Crónica
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Pacientes Internos
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Rodilla
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Tiempo de Internación
Tipo de estudio:
Guideline
/
Incidence_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
The Journal of Korean Knee Society
Año:
2018
Tipo del documento:
Article