The Impact of Pre-Operative Weight Loss on Incidence of Surgical Site Infection and Readmission Rates After Total Joint Arthroplasty

被引：88

作者：

Inacio, Maria C. S. ^{[1
]}

Kritz-Silverstein, Donna ^{[2
]}

Raman, Rema ^{[3
]}

Macera, Caroline A. ^{[4
]}

Nichols, Jeanne F. ^{[5
]}

Shaffer, Richard A. ^{[4
]}

Fithian, Donald C. ^{[6
]}

机构：

[1] Univ Calif San Diego, San Diego State Univ, Joint Doctoral Program Epidemiol, San Diego, CA 92108 USA

[2] Univ Calif San Diego, Sch Med, Dept Family & Prevent Med, San Diego, CA 92103 USA

[3] Univ Calif San Diego, Sch Med, Dept Biostat, San Diego, CA 92103 USA

[4] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA

[5] San Diego State Univ, Sch Exercise & Nutr Sci, San Diego, CA 92182 USA

[6] So Calif Permanente Med Grp, Dept Orthopaed Surg, San Diego, CA 92120 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 03期

关键词：

Total knee arthroplasty; Total hip arthroplasty; obesity; weight loss; infection; readmission; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; RISK-FACTORS; BARIATRIC SURGERY; OBESITY; OUTCOMES; EPIDEMIOLOGY; SURVEILLANCE; DEFINITION; OVERWEIGHT;

D O I：

10.1016/j.arth.2013.07.030

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：

This study characterized a cohort of obese total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients (1/1/2008-12/31/2010) and evaluated whether a clinically significant amount of pre-operative weight loss (5% decrease in body weight) is associated with a decreased risk of surgical site infections (SSI) and readmissions post-surgery. 10,718 TKAs and 4066 THAs were identified. During the one year pre-TKA 7.6% of patients gained weight, 12.4% lost weight, and 79.9% remained the same. In the one year pre-THA, 6.3% of patients gained weight, 18.0% lost weight, and 75.7% remained the same. In TKAs and THAs, after adjusting for covariates, the risk of SSI and readmission was not significantly different in the patients who gained or lost weight pre-operatively compared to those who remained the same. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：458 / U217

页数：8

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