Risk factors related to infections in primary hip and knee arthroplasties

Joint arthroplasty is a safe and effective procedure that improves the quality of life by restoring pain-free function in patients with hip and knee osteoarthritis. However, despite the widely reported success of the procedures, prosthetic joint infection (PJI), as a rare but well-recognized complic...

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Detalles Bibliográficos
Autores principales: Sanchez Carpio, D, Simondi , N, Zeballos , M, Zeballos , L
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
factors
Risk
infections
arthroplasty
factores
Riesgo
infecciones
artroplastia
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42689
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic factors
Risk
infections
arthroplasty
factores
Riesgo
infecciones
artroplastia
spellingShingle factors
Risk
infections
arthroplasty
factores
Riesgo
infecciones
artroplastia
Sanchez Carpio, D
Simondi , N
Zeballos , M
Zeballos , L
Risk factors related to infections in primary hip and knee arthroplasties
topic_facet factors
Risk
infections
arthroplasty
factores
Riesgo
infecciones
artroplastia
author Sanchez Carpio, D
Simondi , N
Zeballos , M
Zeballos , L
author_facet Sanchez Carpio, D
Simondi , N
Zeballos , M
Zeballos , L
author_sort Sanchez Carpio, D
title Risk factors related to infections in primary hip and knee arthroplasties
title_short Risk factors related to infections in primary hip and knee arthroplasties
title_full Risk factors related to infections in primary hip and knee arthroplasties
title_fullStr Risk factors related to infections in primary hip and knee arthroplasties
title_full_unstemmed Risk factors related to infections in primary hip and knee arthroplasties
title_sort risk factors related to infections in primary hip and knee arthroplasties
description Joint arthroplasty is a safe and effective procedure that improves the quality of life by restoring pain-free function in patients with hip and knee osteoarthritis. However, despite the widely reported success of the procedures, prosthetic joint infection (PJI), as a rare but well-recognized complication, affects some patients after hip or knee joint arthroplasty. As is well known, PJI is associated with extremely poor postoperative results and a high incidence of mortality, especially in elderly patients. Objective: to identify the medical risk factors most associated with PJI. 56 Patients with PJI after receiving primary prostheses were included, of which 32 hip arthroplasties and 24 knee arthroplasties between January 2017 and March 2020, regardless of age, sex or type of disease. The following risk factors obesity, malnutrition, diabetes and uncontrolled diabetes mellitus, cardiovascular disorders, rheumatoid arthritis, preoperative anemia, chronic renal failure, smoking, alcoholism, and depression were taken into account. It was found that obesity (BMI >30) was present in 25 patients (44.6%), DBT in 22 patients (39.2%), smoking 22 patients (39.2%), alcoholism in 10 patients (17.8%), cardiovascular pathology in 11 patients (19.6%), rheumatoid arthritis 5 patients (8.9%), preoperative anemia 6 (10.7%), renal failure 4 patients (7.14%), malnutrition 7 (12.5%), depression 7 (12.5%), ASA > 3 28 patients (50%). The most frequent risk factors for PJI were BMI > 30, smoking, diabetes, and ASA score >3. This requires early detection and adequate treatment of these risk factors prior to surgery. These findings are important for the development of prevention strategies for PJI.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42689
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first_indexed 2024-09-03T21:04:48Z
last_indexed 2024-09-03T21:04:48Z
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spelling I10-R327-article-426892023-10-19T21:19:55Z Risk factors related to infections in primary hip and knee arthroplasties Factores de riesgo relacionados con infecciones en artroplastias primarias de cadera y rodilla Sanchez Carpio, D Simondi , N Zeballos , M Zeballos , L factors Risk infections arthroplasty factores Riesgo infecciones artroplastia Joint arthroplasty is a safe and effective procedure that improves the quality of life by restoring pain-free function in patients with hip and knee osteoarthritis. However, despite the widely reported success of the procedures, prosthetic joint infection (PJI), as a rare but well-recognized complication, affects some patients after hip or knee joint arthroplasty. As is well known, PJI is associated with extremely poor postoperative results and a high incidence of mortality, especially in elderly patients. Objective: to identify the medical risk factors most associated with PJI. 56 Patients with PJI after receiving primary prostheses were included, of which 32 hip arthroplasties and 24 knee arthroplasties between January 2017 and March 2020, regardless of age, sex or type of disease. The following risk factors obesity, malnutrition, diabetes and uncontrolled diabetes mellitus, cardiovascular disorders, rheumatoid arthritis, preoperative anemia, chronic renal failure, smoking, alcoholism, and depression were taken into account. It was found that obesity (BMI >30) was present in 25 patients (44.6%), DBT in 22 patients (39.2%), smoking 22 patients (39.2%), alcoholism in 10 patients (17.8%), cardiovascular pathology in 11 patients (19.6%), rheumatoid arthritis 5 patients (8.9%), preoperative anemia 6 (10.7%), renal failure 4 patients (7.14%), malnutrition 7 (12.5%), depression 7 (12.5%), ASA > 3 28 patients (50%). The most frequent risk factors for PJI were BMI > 30, smoking, diabetes, and ASA score >3. This requires early detection and adequate treatment of these risk factors prior to surgery. These findings are important for the development of prevention strategies for PJI. La artroplastia articular es un procedimiento seguro y eficaz que mejora la calidad de vida restituyendo la función sin dolor de los pacientes con artrosis de cadera y rodilla. Sin embargo, a pesar del éxito ampliamente reportado de los procedimientos, la infección articular protésica (IAP), como una complicación poco frecuente pero bien reconocida, afecta a algunos pacientes después de la artroplastia articular de cadera o rodilla. Como ya es de conocimiento, la IAP se asocia con resultados postoperatorios extremadamente pobres y una alta incidencia de mortalidad sobre todo en paciente añosos. Objetivo: identificar los factores medicos de riesgo mayormente asociados con la IAP. Se incluyeron 56 pacientes con IAP tras recibir prótesis primarias, de los cuales 32 artroplastias de cadera y 24 artroplastia de rodilla entre enero de 2017 y marzo de 2020,  independientemente de la edad, sexo o tipo de enfermedad. Se tomaron en cuenta los siguientes factores de riesgo obesidad, desnutrición, diabetes y diabetes mellitus no controlada, trastornos cardiovasculares, artritis reumatoide, anemia preoperatoria, falla renal crónica, tabaquismo, alcoholismo y depresión.  Se encontró que la obesidad (IMC >30) se encontraba en 25 paciente (44.6% ), DBT  en 22 paciente (39.2% ), Tabaquismo 22 pacientes (39.2% ), alcoholismo en 10 pacientes (17.8%), patología cardiovascular en 11 pacientes (19.6%), Artritis reumatoidea 5 pacientes (8.9%), anemia preoperatoria 6 (10.7% ), Fallo renal 4 pacientes (7.14% ), desnutrición 7 (12.5%), depresión 7 (12.5%),  ASA >3 28 pacientes (50% ). Los factores de riesgo de IAP con mas frecuencia fueron, el IMC > 30, tabaquismo, diabetes y  valoracion con ASA >3. Esto exige una detección precoz y un tratamiento adecuado de estos factores de riesgo previos a la cirugía. Estos hallazgos son importantes para el desarrollo de estrategias de prevención para PJI. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42689 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42689/42872 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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