Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study
Objective:Surgical site infection (SSI) is one of the important factors leading to revision surgery after total knee arthroplasty (TKA). Nurses play an important role in the diagnosis of risky patients. This study aimed to determine factors leading to the development of SSI that required revision su...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-07-01
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| Series: | Bezmiâlem Science |
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http://bezmialemscience.org/archives/archive-detail/article-preview/factors-affecting-the-development-of-surgical-site/61157
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| author | Hatice ÖNER CENGİZ Halit CENGİZ Alparslan KILIÇ Murat ALTAY |
| author_facet | Hatice ÖNER CENGİZ Halit CENGİZ Alparslan KILIÇ Murat ALTAY |
| author_sort | Hatice ÖNER CENGİZ |
| collection | DOAJ |
| description | Objective:Surgical site infection (SSI) is one of the important factors leading to revision surgery after total knee arthroplasty (TKA). Nurses play an important role in the diagnosis of risky patients. This study aimed to determine factors leading to the development of SSI that required revision surgery after TKA.Methods:This study was a retrospective case-control study conducted on the causes of SSI requiring revision surgery after TKA in a large hospital. Sociodemographic and medical characteristics of randomly sampled patients with revision (n=77) and the control group (n=77) were compared. Descriptive statistics, chi-square test, independent samples t-test, multiple logistic regression were used for data analysis.Results:The mean age of the patients in the revision and control groups were 68.11±7.62 and 66.48±5.17, respectively. The mean body mass index (BMI) (37.49±5.22) and operative duration (58.24±17.20 min) of the patients in the revision group were significantly higher, while their preoperative (36.36±0.24 ºC), intraoperative (36.30±0.26 ºC), and postoperative (36.56±0.39 ºC) body temperatures were significantly lower (p<0.05). It was determined that there was a correlation between patients’ ASA scores, duration of antibiotic use, preoperative intra-articular corticosteroid injection and the development of SSI (p<0.05), and that high BMI, long duration of surgery, and preoperative intra-articular corticosteroid injection were the most important factors causing revision surgery.Conclusion:In revision surgery due to the development of SSI, it can be concluded that high BMI, long duration of surgery, low body temperature, high ASA score, long duration of postoperative antibiotic use, and preoperative intra-articular corticosteroid injection are effective factors. |
| first_indexed | 2024-03-12T20:38:41Z |
| format | Article |
| id | doaj.art-ed679a2bbd544715b3dcd8c497c41164 |
| institution | Directory Open Access Journal |
| issn | 2148-2373 |
| language | English |
| last_indexed | 2024-03-12T20:38:41Z |
| publishDate | 2023-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-ed679a2bbd544715b3dcd8c497c411642023-08-01T11:57:21ZengGalenos Publishing HouseBezmiâlem Science2148-23732023-07-0111328028810.14235/bas.galenos.2023.4934413049054Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control StudyHatice ÖNER CENGİZ0Halit CENGİZ1Alparslan KILIÇ2Murat ALTAY3 Ankara University Faculty of Nursing, Department of Nursing, Division of Surgical Diseases Nursing, Ankara, Turkey Ankara Atatürk Sanatorium Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Ankara Atatürk Sanatorium Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Ankara Atatürk Sanatorium Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Objective:Surgical site infection (SSI) is one of the important factors leading to revision surgery after total knee arthroplasty (TKA). Nurses play an important role in the diagnosis of risky patients. This study aimed to determine factors leading to the development of SSI that required revision surgery after TKA.Methods:This study was a retrospective case-control study conducted on the causes of SSI requiring revision surgery after TKA in a large hospital. Sociodemographic and medical characteristics of randomly sampled patients with revision (n=77) and the control group (n=77) were compared. Descriptive statistics, chi-square test, independent samples t-test, multiple logistic regression were used for data analysis.Results:The mean age of the patients in the revision and control groups were 68.11±7.62 and 66.48±5.17, respectively. The mean body mass index (BMI) (37.49±5.22) and operative duration (58.24±17.20 min) of the patients in the revision group were significantly higher, while their preoperative (36.36±0.24 ºC), intraoperative (36.30±0.26 ºC), and postoperative (36.56±0.39 ºC) body temperatures were significantly lower (p<0.05). It was determined that there was a correlation between patients’ ASA scores, duration of antibiotic use, preoperative intra-articular corticosteroid injection and the development of SSI (p<0.05), and that high BMI, long duration of surgery, and preoperative intra-articular corticosteroid injection were the most important factors causing revision surgery.Conclusion:In revision surgery due to the development of SSI, it can be concluded that high BMI, long duration of surgery, low body temperature, high ASA score, long duration of postoperative antibiotic use, and preoperative intra-articular corticosteroid injection are effective factors. http://bezmialemscience.org/archives/archive-detail/article-preview/factors-affecting-the-development-of-surgical-site/61157 surgical site infectionknee arthroplastyjoint revisionrisk factors |
| spellingShingle | Hatice ÖNER CENGİZ Halit CENGİZ Alparslan KILIÇ Murat ALTAY Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study Bezmiâlem Science surgical site infection knee arthroplasty joint revision risk factors |
| title | Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study |
| title_full | Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study |
| title_fullStr | Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study |
| title_full_unstemmed | Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study |
| title_short | Factors Affecting the Development of Surgical Site Infection Requiring Revision Surgery After Total Knee Arthroplasty: A Retrospective Case-Control Study |
| title_sort | factors affecting the development of surgical site infection requiring revision surgery after total knee arthroplasty a retrospective case control study |
| topic | surgical site infection knee arthroplasty joint revision risk factors |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/factors-affecting-the-development-of-surgical-site/61157
|
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