Journal article
Annual Nationwide Infection Trends for Revision Total Knee Arthroplasty
The Journal of knee surgery, v 34(4), pp 378-382
Mar 2021
PMID: 31491795
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Several recent intraoperative and wound management techniques have been developed and implemented in the United States over the past decade; however, it is unclear what the effects of these newer modalities have on reducing surgical site infection (SSI) rates. Therefore, the purpose of this study was to track the annual rate and trends of (1) overall, (2) deep, and (3) superficial SSIs following revision total knee arthroplasty (TKA). The National Surgical Quality Improvement Program database was queried for all revision TKA cases performed between 2011 and 2016, which yielded 9,887 cases. Cases with superficial and/or deep SSIs were analyzed separately and then combined to evaluate overall SSI rates. After an overall 6-year correlation and trends analysis, univariate analysis was performed to compare the most recent year, 2016, with the preceding 5 years. Correlation coefficients and chi-square tests were used to determine correlation and statistical significance. No significant correlations between combined, deep, and/or superficial SSI rates and year were noted (
> 0.05). The lowest overall SSI incidence was in 2012 (1.16%), while the greatest incidence was in 2014 (1.76%). The deep SSI incidence over the 6 years was 0.67% (66 out of 9,887 cases). Deep SSI rate decreased by 10% in 2016 compared with 2011 (0.50 vs. 0.56%,
> 0.05). In this 6-year period, 94 cases out of 9,887 were complicated by a superficial SSI, an incidence of 0.95%. The lowest superficial SSI incidence occurred in 2015 (
= 17, 0.77%). Overall, the incidence of SSIs in revision TKA has remained fairly low with some annual variance, indicating room for improvement. These variations likely as revision surgeries can be more complex and have several associated confounding factors influencing outcomes, when compared with primary cases. Further research is needed to identify revision-specific strategies to reduce the risk of surgical site infections.
Metrics
Details
- Title
- Annual Nationwide Infection Trends for Revision Total Knee Arthroplasty
- Creators
- Peter A Gold - Long Island Jewish Medical CenterLuke J Garbarino - Long Island Jewish Medical CenterNipun Sodhi - Cleveland ClinicHiba K Anis - Cleveland ClinicJoseph O Ehiorobo - Lenox Hill HospitalSteven M Kurtz - Drexel UniversityJonathan R Danoff - Long Island Jewish Medical CenterVijay J Rasquinha - Long Island Jewish Medical CenterCarlos A Higuera - Cleveland ClinicMichael A Mont - Lenox Hill Hospital
- Publication Details
- The Journal of knee surgery, v 34(4), pp 378-382
- Publisher
- Thieme
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000627117600005
- Scopus ID
- 2-s2.0-85102430749
- Other Identifier
- 991019167669104721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics