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HSS Journal ®
Published in: HSS Journal ® 1/2006

01-02-2006 | Research Article

Prolonged Operative Time Correlates with Increased Infection Rate After Total Knee Arthroplasty

Authors: G. Peersman, MD, R. Laskin, MD, J. Davis, RN, M. G. E. Peterson, Ph. D, T. Richart, MD

Published in: HSS Journal ® | Issue 1/2006

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Abstract

Risk stratification has proven to be a useful tool in surgical site infection prevention. The duration of the surgical procedure has been recommended for use in surgical site infection (SSI) risk stratification (Infect Control Hosp Epidemiol 20:247–248, 1999). A retrospective analysis of 6489 patients who underwent total knee replacement (TKR) between 1993 and 1999 assessed the association between the duration of the surgical procedure and the risk of postoperative infection. One hundred thirteen infected patients were matched with 236 controls, and nominal variables were statistically processed. Patients without infections (n = 236) had surgery durations of 94 ± 28 min, and patients with infection (n = 104) had durations of 127 ± 45 min (p < 0.001). Operation time has positive correlations with weight (r = 0.3, p < 0.001), body mass index (r = 0.3, p < 0.001), and the total number of comorbidities (r = 0.2, p < 0.001; n = 340). The results confirm that the duration of the surgical procedure can be used as a risk predictor for SSI in TKR.
Literature
1.
Brandt, C, Hansen, S, Sohr, D, Daschner, F, Ruden, H, Gastmeier, P Apr 2004Finding a method for optimizing risk adjustment when comparing surgical-site infection ratesInfect Control Hosp Epidemiol25313318
2.
Thomasson, E, Guingand, O, Terracher, R, Mazel, C 2001Perioperative complications after total hip revision surgery and their predictive factors. A series of 181 consecutive proceduresRev Chir Orthop87477488PubMed
3.
Heisel, C, Schmalzried, TP Aug 2003Incidence of serious complications after total hip replacementJ Bone Jt Surg Am85A16101611
4.
Kessler, S, Kinkel, S, Käfer, W, Puhl, W, Schochat, T 2003Influence of operation duration on the perioperative morbidity in revision total hip arthroplastyActa Orthop Belg6932833416PubMed
5.
Mangran, AJ, Horan, TC, Pearlson, ML, Silver, LC, Jarvis, WR 1999Guideline for prevention of surgical site infection 1999Infect Control Hosp Epidemiol20247278
6.
Patterson, BM, Lieberman, JR, Salvati, EA 1995Intra-operative complications during total hip arthroplastyOrthopedics1810891095PubMed
7.
Peersman, G, Laskin, RS, Davis, J, Peterson, M Nov 2001Infection in total knee replacement: a retrospective review of 6489 total knee replacementsClin Orthop3921523
8.
Saleh, K, Olson, M, Resig, S, Bershadsky, B, Kuskowski, M, Gioe, T, Robinson, H, Schmidt, R, McElfresh, E 2002Predictors of wound infection in hip and knee joint replacement: results from a 20 year surveillance programJ Orthoptera Res20506515
9.
Strehle, J, Notaro, C, Orler, R, Isler, B 2000The outcome of revision hip arthroplasty in patients older than age 80 years: complications and social outcome of different risk groupsJ Arthroplast15690697CrossRef
10.
Weaver, F, Hynes, D, Hopkinson, W, Wixson, R, Khuri, S, Daley, J, Henderson, WG Sep 2003Preoperative risks and outcomes of hip and knee arthroplasty in the veteran's health administrationJ Arthroplast18693708CrossRef
Metadata
Title
Prolonged Operative Time Correlates with Increased Infection Rate After Total Knee Arthroplasty
Authors
G. Peersman, MD
R. Laskin, MD
J. Davis, RN
M. G. E. Peterson, Ph. D
T. Richart, MD
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
HSS Journal ® / Issue 1/2006
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-005-0130-2

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