Preoperative Risk Factors for Postoperative Urinary Tract Infection After Primary Total Hip and Knee Arthroplasties
| Autor: | Mark H. Gonzalez, Anshum Sood, Michael P. Foy, Austin Q. Nguyen |
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| Rok vydání: | 2021 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Anemia Arthroplasty Replacement Hip medicine.medical_treatment Urinary system 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Internal medicine Diabetes mellitus Humans Medicine Orthopedics and Sports Medicine Arthroplasty Replacement Knee Retrospective Studies 030222 orthopedics business.industry Perioperative Middle Aged musculoskeletal system medicine.disease Arthroplasty surgical procedures operative Urinary Tract Infections Cohort Current Procedural Terminology business Body mass index |
| Zdroj: | The Journal of Arthroplasty. 36:734-738 |
| ISSN: | 0883-5403 |
| Popis: | Background Establishing clear risk factors for complications such as urinary tract infection (UTI) after arthroplasty procedures helps guide clinical practice and provides more information to both surgeons and patients. This study aims to assess selected preoperative patient characteristics as risk factors for postoperative UTI after primary total hip and knee arthroplasties (THA and TKA). Methods This was a retrospective analysis using current procedural terminology codes to investigate the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database for patients who underwent THA or TKA from 2010 to 2017. Patients were classified for UTI by NSQIP guidelines. Patient samples with all possible covariates were included for multivariate logistic regression analysis and assessed for independent associations. Results In a cohort of 983 identified patients (983 of 119,096; 0.83%): ages 57+ years, preoperative red blood cell (RBC) transfusion, perioperative RBC transfusion, bleeding disorders, operative time 110+ minutes, preoperative steroid use, diabetes, pulmonary comorbidities, body mass index 30+ kg/m2 were independent risk factors for postoperative UTI after THA. In a cohort of 1503 identified patients (1503 of 189,327; 0.8%): ages 60+ years, preoperative RBC transfusion, perioperative RBC transfusion, anemia, platelets less than 150k, preoperative steroid use, diabetes, and body mass index 30+ kg/m2 were independent risk factors for postoperative UTI after TKA. Male sex was associated with a decreased risk of UTI in both THA and TKA. Conclusion This study provides novel evidence on risk factors associated with the development of UTI after THA or TKA. Clinicians should be aware of risk factors in the manifestation of postoperative UTI after primary THA or TKA procedures. |
| Databáze: | OpenAIRE |
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