[Revision rate of periprosthetic joint infection post total hip or knee arthroplasty of 34 hospitals in China between 2015 and 2017: a multi-center survey].

Autor: Peng HM; Department of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China., Zhou ZK; Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China., Zhao JN; Department of Orthopaedics, General Hospital of Eastern War Zone, People's Liberation Army, Nanjing 210002, China., Wang F; Department of Orthopedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang 050051, China., Liao WM; Department of Orthopedic Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510008, China., Zhang WM; Department of Joint Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou 350009, China., Jiang Q; Department of Orthopedic Surgery, Drum Tower Hospital of Nanjing University, Nanjing 210008, China., Yan SG; Department of Orthopaedic Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310058, China., Cao L; Department of Orthopaedic Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China., Chen LB; Department of Orthopaedic Surgery, Central South Hospital of Wuhan University, Wuhan 430071, China., Xiao J; Department of Orthopaedic Surgery, Wuhan Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China., Xu WH; Department of Orthopedic Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430032, China., He R; Department of Orthopedic Surgery, the Southwest Hospital of Army Medical University, Chongqing 400038, China., Xia YY; Department of Orthopedic Surgery, Second Hospital of Lanzhou University, Lanzhou 730030, China., Xu YQ; Department of Orthopedic Surgery, 920th Hospital of the People's Liberation Army, Kunming 650032, China., Xu P; Department of Orthopedic Surgery, Xi'an Red Cross Hospital, Xi'an Jiaotong University, Xi'an 710054, China., Zuo JL; Department of Orthopedic Surgery, China-Japan Friendship Hospital, Jilin University, Changchun 130031, China., Hu YH; Department of Orthopedic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China., Wang WC; Department of Orthopedic Surgery, Second Hospital of Xiangya, Central South University, Changsha 410016, China., Huang W; Department of Orthopedic Surgery, First Hospital of Chongqing Medical University, Chongqing 400010, China., Wang JC; Department of Orthopedic Surgery, Second Hospital of Jilin University, Changchun 130021, China., Tao SQ; Department of Orthopedic Surgery, Second Hospital of Harbin Medical University, Harbin 150001, China., Qian QR; Department of Orthopedic Surgery, Shanghai Changzheng Hospital, Shanghai 200030, China., Wang YZ; Department of Orthopedic Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, China., Zhang ZQ; Department of Orthopedic Surgery, Second Hospital of Shanxi Medical University, Taiyuan 030001, China., Tian XB; Department of Orthopedic Surgery, Affiliated Hospital of Guizhou Medical University, Guiyang 550000, China., Wang WW; Department of Orthopaedic Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, China., Jin QH; Department of Orthopaedic Surgery, Affiliated Hospital of Ningxia Medical University, Yinchuan 750010, China., Zhu QS; Xijing Hospital of Air Force Military Medical University, Xi'an 710032, China., Yuan H; Department of Orthopedic Surgery, Xinjiang Uygur Autonomous Region People's Hospital, Urumqi 830002, China., Shang XF; Department of Orthopedic Surgery, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230001, China., Shi ZJ; Department of Orthopedic Surgery, Southern Hospital, Southern Medical University, Guangzhou 510515, China., Zheng J; Department of Orthopedic Surgery, Henan Provincial People's Hospital, Zhengzhou 450003, China., Xu JZ; Department of Orthopedic Surgery, the First Hospital of Zhengzhou University, Zhengzhou 450002, China., Liu JG; Department of Orthopedic Surgery, the First Bethune Hospital of Jilin University, Changchun 130000, China., Xu WD; Department of Orthopaedic Surgery, Shanghai Changhai Hospital, Shanghai 200082, China., Weng XS; Department of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China., Qiu GX; Department of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Jazyk: čínština
Zdroj: Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2023 Apr 04; Vol. 103 (13), pp. 999-1005.
DOI: 10.3760/cma.j.cn112137-20221108-02351
Abstrakt: Objective: To investigate the rate of periprosthetic joint infection (PJI) revision surgeries and clinical information of hip-/knee- PJI cases nationwide from 2015 to 2017 in China. Methods: An epidemiological investigation. A self-designed questionnaire and convenience sampling were used to survey 41 regional joint replacement centers nationwide from November 2018 to December 2019 in China. The PJI was diagnosed according to the Musculoskeletal Infection Association criteria. Data of PJI patients were obtained by searching the inpatient database of each hospital. Questionnaire entries were extracted from the clinical records by specialist. Then the differences in rate of PJI revision surgery between hip- and knee- PJI revision cases were calculated and compared. Results: Total of 36 hospitals (87.8%) nationwide reported data on 99 791 hip and knee arthroplasties performed from 2015 to 2017, with 946 revisions due to PJI (0.96%). The overall hip-PJI revision rate was 0.99% (481/48 574), and it was 0.97% (135/13 963), 0.97% (153/15 730) and 1.07% (193/17 881) in of 2015, 2016, 2017, respectively. The overall knee-PJI revision rate was 0.91% (465/51 271), and it was 0.90% (131/14 650), 0.88% (155/17 693) and 0.94% (179/18 982) in 2015, 2016, 2017, respectively. Heilongjiang (2.2%, 40/1 805), Fujian (2.2%, 45/2 017), Jiangsu (2.1%, 85/3 899), Gansu (2.1%, 29/1 377), Chongqing (1.8%, 64/3 523) reported relatively high revision rates. Conclusions: The overall PJI revision rate in 34 hospitals nationwide from 2015 to 2017 is 0.96%. The hip-PJI revision rate is slightly higher than that in the knee-PJI. There are differences in revision rates among hospitals in different regions.
Databáze: MEDLINE