Association between malnutrition status and total joint arthroplasty periprosthetic joint infection and surgical site infection: a systematic review meta-analysis
被引:1
作者:
Chen, Yuxin
论文数: 0引用数: 0
h-index: 0
机构:
Huaqiao Univ, Dehua Affiliated Hosp, Dept Orthoped, Quanzhou 362500, Fujian, Peoples R ChinaHuaqiao Univ, Dehua Affiliated Hosp, Dept Orthoped, Quanzhou 362500, Fujian, Peoples R China
Chen, Yuxin
[1
]
Chen, Wenzhu
论文数: 0引用数: 0
h-index: 0
机构:
Huaqiao Univ, Dehua Affiliated Hosp, Dept Operat Room, 32 Xunbei Rd, Quanzhou 362500, Fujian, Peoples R ChinaHuaqiao Univ, Dehua Affiliated Hosp, Dept Orthoped, Quanzhou 362500, Fujian, Peoples R China
Chen, Wenzhu
[2
]
机构:
[1] Huaqiao Univ, Dehua Affiliated Hosp, Dept Orthoped, Quanzhou 362500, Fujian, Peoples R China
[2] Huaqiao Univ, Dehua Affiliated Hosp, Dept Operat Room, 32 Xunbei Rd, Quanzhou 362500, Fujian, Peoples R China
来源:
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
|
2024年
/
19卷
/
01期
关键词:
Arthroplasty;
Malnutrition;
Surgical Site infections;
Periprosthetic Joint infections;
Meta-analysis;
SEPTIC FAILURE;
TOTAL HIP;
COMPLICATIONS;
RISK;
ALBUMIN;
Background Malnutrition is a state resulting from lack of intake or uptake of nutrition. Investigating the association between malnutrition and postoperative complications is essential for enhancing patient outcomes in total joint arthroplasty (TJA). This meta-analysis aimed to investigate the impact of malnutrition on the incidence of surgical site infections (SSIs) and periprosthetic joint infections (PJIs) following TJA. Methods The data were searched from databases including PubMed, Embase, Web of Science, and Cochrane Library inception through July 19 2023, without time restrictions. Inclusion criteria focused on studies examining malnutrition as a risk factor for SSIs and PJIs postarthroplasty, providing sufficient data for calculating odds ratios (ORs) and 95% confidence intervals (CIs). Methodological quality was assessed using the Newcastle-Ottawa Scale, and statistical analyses were executed in Stata version 17. Results A total of 1,025 articles were screened, and 9 studies satisfying the predefined inclusion criteria were consequently selected for this meta-analysis. Studies indicated that malnutrition is significant factor to the heightened incidence of both SSIs and PJIs following TJA procedures. Our pooled results yielded aggregated ORs of 2.60 for SSIs and 3.44 for PJIs, with respective 95% CIs of 2.10-3.10 and 2.35-4.53. The heterogeneity of malnutrition as a risk factor for postoperative SSI was I2 = 0.0% (p = 0.592), and for PJI was I2 = 0.0% (p = 0.422). Egger's linear regression test showed no significant publication bias (p > 0.05). Conclusions Malnutrition is a significant risk factor for SSIs and potentially PJIs in patients undergoing TJA. Preoperative optimization strategies targeted at malnourished patients are suggested to minimize postoperative complications clinically.
机构:
Mayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USAMayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
Beam, Elena
Osmon, Douglas
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
Mayo Clin, Dept Orthoped Surg, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USAMayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Berrios, Sandra I.
Umscheid, Craig A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Umscheid, Craig A.
Bratzler, Dale W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Hlth Sci Ctr, Coll Publ Hlth, Oklahoma City, OK USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Bratzler, Dale W.
Leas, Brian
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Leas, Brian
Stone, Erin C.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Stone, Erin C.
Kelz, Rachel R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Kelz, Rachel R.
Reinke, Caroline E.
论文数: 0引用数: 0
h-index: 0
机构:
Carolinas Healthcare Syst, Charlotte, NC 28223 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Reinke, Caroline E.
Morgan, Sherry
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Morgan, Sherry
Solomkin, Joseph S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cincinnati, Coll Med, Dept Surg, Cincinnati, OH USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Solomkin, Joseph S.
Mazuski, John E.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Sect Acute & Crit Care Surg, St Louis, MO USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Mazuski, John E.
Dellinger, E. Patchen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Med Ctr, Amer Coll Surg Representat, Seattle, WA 98195 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Dellinger, E. Patchen
Itani, Kamal M. F.
论文数: 0引用数: 0
h-index: 0
机构:
Boston Univ, Vet Affairs Boston Healthcare Syst, Surg Infect Soc Representat, Boston, MA 02215 USA
Harvard Med Sch, Boston, MA 02215 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Itani, Kamal M. F.
Berbari, Elie F.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Coll Med, Musculoskeletal Infect Soc Representat, Rochester, MN USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Berbari, Elie F.
论文数: 引用数:
h-index:
机构:
Segreti, John
Parvizi, Javad
论文数: 0引用数: 0
h-index: 0
机构:
Amer Acad Orthopaed Surg Representat, Rothman Inst, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Parvizi, Javad
Blanchard, Joan
论文数: 0引用数: 0
h-index: 0
机构:
Littleton Adventist Hosp, Qual Dept, Denver, CO USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Blanchard, Joan
Allen, George
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h-index: 0
机构:
New York Methodist Hosp, Assoc Perioperat Registered Nurses Representat, Brooklyn, NY USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Allen, George
Kluytmans, Jan A. J. W.
论文数: 0引用数: 0
h-index: 0
机构:
Amphia Hosp, Lab Microbiol & Infect Control, Breda, Netherlands
Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, NetherlandsCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Kluytmans, Jan A. J. W.
Donlan, Rodney
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Donlan, Rodney
Schecter, William P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Surg, San Francisco, CA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Blevins, Kier
Aalirezaie, Arash
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Aalirezaie, Arash
Shohat, Noam
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Shohat, Noam
Parvizi, Javad
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
机构:
Mayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USAMayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
Beam, Elena
Osmon, Douglas
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
Mayo Clin, Dept Orthoped Surg, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USAMayo Clin, Dept Internal Med, Div Infect Dis, 200 First St Southwest, Rochester, MN 55905 USA
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Berrios, Sandra I.
Umscheid, Craig A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Umscheid, Craig A.
Bratzler, Dale W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Hlth Sci Ctr, Coll Publ Hlth, Oklahoma City, OK USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Bratzler, Dale W.
Leas, Brian
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Leas, Brian
Stone, Erin C.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Stone, Erin C.
Kelz, Rachel R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Kelz, Rachel R.
Reinke, Caroline E.
论文数: 0引用数: 0
h-index: 0
机构:
Carolinas Healthcare Syst, Charlotte, NC 28223 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Reinke, Caroline E.
Morgan, Sherry
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA 19103 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Morgan, Sherry
Solomkin, Joseph S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cincinnati, Coll Med, Dept Surg, Cincinnati, OH USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Solomkin, Joseph S.
Mazuski, John E.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Sect Acute & Crit Care Surg, St Louis, MO USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Mazuski, John E.
Dellinger, E. Patchen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Med Ctr, Amer Coll Surg Representat, Seattle, WA 98195 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Dellinger, E. Patchen
Itani, Kamal M. F.
论文数: 0引用数: 0
h-index: 0
机构:
Boston Univ, Vet Affairs Boston Healthcare Syst, Surg Infect Soc Representat, Boston, MA 02215 USA
Harvard Med Sch, Boston, MA 02215 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Itani, Kamal M. F.
Berbari, Elie F.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Coll Med, Musculoskeletal Infect Soc Representat, Rochester, MN USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Berbari, Elie F.
论文数: 引用数:
h-index:
机构:
Segreti, John
Parvizi, Javad
论文数: 0引用数: 0
h-index: 0
机构:
Amer Acad Orthopaed Surg Representat, Rothman Inst, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Parvizi, Javad
Blanchard, Joan
论文数: 0引用数: 0
h-index: 0
机构:
Littleton Adventist Hosp, Qual Dept, Denver, CO USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Blanchard, Joan
Allen, George
论文数: 0引用数: 0
h-index: 0
机构:
New York Methodist Hosp, Assoc Perioperat Registered Nurses Representat, Brooklyn, NY USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Allen, George
Kluytmans, Jan A. J. W.
论文数: 0引用数: 0
h-index: 0
机构:
Amphia Hosp, Lab Microbiol & Infect Control, Breda, Netherlands
Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, NetherlandsCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Kluytmans, Jan A. J. W.
Donlan, Rodney
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GeorgiaCtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
Donlan, Rodney
Schecter, William P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Surg, San Francisco, CA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, Georgia
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Blevins, Kier
Aalirezaie, Arash
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Aalirezaie, Arash
Shohat, Noam
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
Shohat, Noam
Parvizi, Javad
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA