Infection burden for hip and knee arthroplasty in the United States

被引：786

作者：

Kurtz, Steven M. ^{[1
]}

Lau, Edmund ^{[2
]}

Schmier, Jordana ^{[3
]}

Ong, Kevin L. ^{[1
]}

Zhao, Ke ^{[2
]}

Parvizi, Javad ^{[4
]}

机构：

[1] Exponent Inc, Philadelphia, PA 19104 USA

[2] Exponent Inc, Menlo Pk, CA USA

[3] Exponent Inc, Alexandria, VA USA

[4] Rothman Inst, Philadelphia, PA USA

来源：

JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 07期

关键词：

total hip; total knee; infection; complication; revision rate;

D O I：

10.1016/j.arth.2007.10.017

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：

We quantified the current and historical incidence of periprosthetic infection associated with hip and knee arthroplasty in the United States using the Nationwide Inpatient Sample, as well as corresponding hospitalization charges and length of stay. The rate of infected knee arthroplasties was 0.92%, significantly greater than that of infected hip arthroplasties with 0.88%. Length of stay was significantly longer for infected hip (9.7 days) and knee (7.6 days) arthroplasties compared to uninfected procedures (hip, 4.3 days; knee, 3.9 days) (P <.0001). Hospitalization charges were also significantly greater for infected joint arthroplasties than for uninfected arthroplasties (hips, 1.76 times; knees, 1.52 times) (P <.0001). Urban-non-teaching hospitals experienced the highest burden of infection with 1.18% for hips and 1.26% for knees compared to rural (0.61% for hips and 0.69% for knees) and urban-teaching hospitals (0.73% for hips and 0.77% for knees). We found an increasing number of joint arthroplasties being diagnosed with periprosthetic infection.

引用

页码：984 / 991

页数：8

共 15 条

[1]

[Anonymous], INTRO HCUP NATIONWID

[2] The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization [J].