Seasonal Influence on Postoperative Complications after Total Knee Arthroplasty
The Journal of Korean Knee Society
;
: 42-49, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-759306
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 ANDMETHODS:
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Complications postopératoires
/
Arthroplastie
/
Saisons
/
Infection de plaie opératoire
/
Incidence
/
Arthroplastie prothétique de genou
/
Insuffisance rénale chronique
/
Patients hospitalisés
/
Genou
/
Durée du séjour
Type d'étude:
Guide de pratique
/
Etude d'incidence
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
The Journal of Korean Knee Society
Année:
2018
Type:
Article
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