Does HIV Infection Increase the Risk of Short-Term Adverse Outcomes Following Total Knee Arthroplasty?

被引：35

作者：

Boylan, Matthew R. ^{[1
,2
]}

Basu, Niladri ^{[1
]}

Naziri, Qais ^{[1
]}

Issa, Kimona ^{[3
]}

Maheshwari, Aditya V. ^{[1
]}

Mont, Michael A. ^{[4
]}

机构：

[1] Suny Downstate Med Ctr, Dept Orthopaed, Brooklyn, NY 11203 USA

[2] Suny Downstate Med Ctr, Dept Epidemiol & Biostat, Brooklyn, NY 11203 USA

[3] Seton Hall Univ, Sch Hlth & Med Sci, Dept Orthopaed Surg, S Orange, NJ 07079 USA

[4] Sinai Hosp, Rubin Inst Adv Orthoped, Ctr Joint Preservat & Reconstruct, Baltimore, MD 21215 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 09期

关键词：

HIV; total knee arthroplasty; wound infection; complications; TKA; TOTAL JOINT ARTHROPLASTY; POSITIVE PATIENTS; COMORBIDITIES; COMPLICATIONS;

D O I：

10.1016/j.arth.2015.03.018

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Using the Nationwide Inpatient Sample, we assess the: (1) demographic trends; (2) complications; and (3) length of hospital stay among total knee arthroplasty (TKA) patients with and without human immunodeficiency virus (HIV). The study population consisted of 2772 patients with HIV and 5,672,314 controls. Patients with HIV were more likely to be younger, male, and nonwhite. Patients with HIV were at an increased risk for perioperative wound infections (OR = 2.78; P = 0.024), although they were not at an increased risk for overall complications (OR = 1.21; P = 0.321). Mean length of stay was 17% longer for patients with HIV (P < 0.001). Given these findings, orthopedic surgeons should have a low threshold to work up a patient with HIV for a wound infection following TKA. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1629 / 1632

页数：4

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