본문 바로가기
KERD
논문KCI 등재

Seasonal Influence on Postoperative Complications after Total Knee Arthroplasty

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Purpose: This study is aimed at investigating whether inpatient complications and surgical site infections (SSIs) occurred more commonly in patients undergoing total knee arthroplasty (TKA) during the summer season. Materials and Methods: A total of 725 patients who underwent unilateral or bilateral TKA were included in this study. A total of 241 patients (33.2%) underwent TKA between May and August. Our outcomes of interest were the incidence of postoperative complications and length of stay. Results: May–August surgeries were associated with a higher risk of postoperative inpatient complications (p=0.003). May–August surgeries (odds ratio [OR], 2.13; 95% confidence interval [CI], 1.18 to 3.85), postoperative transfusion (OR, 2.46; 95% CI, 1.43 to 4.26), postoperative special care unit stay (OR, 4.68; 95% CI, 1.99 to 11.0) and chronic kidney disease (OR, 3.27; 95% CI, 1.15 to 9.28) were associated with a higher odds of developing inpatient complications. No association was present between summer surgeries and SSIs (p=0.486). Conclusions: The results of this study show that overall complication rates following TKA exhibit a seasonal trend, with a peak during the summer months. These results may have some implication in clinical practice and stricter approaches to hospital guidelines during the summer months.

Abstract

Purpose: This study is aimed at investigating whether inpatient complications and surgical site infections (SSIs) occurred more commonly in patients undergoing total knee arthroplasty (TKA) during the summer season. Materials and Methods: A total of 725 patients who underwent unilateral or bilateral TKA were included in this study. A total of 241 patients (33.2%) underwent TKA between May and August. Our outcomes of interest were the incidence of postoperative complications and length of stay. Results: May–August surgeries were associated with a higher risk of postoperative inpatient complications (p=0.003). May–August surgeries (odds ratio [OR], 2.13; 95% confidence interval [CI], 1.18 to 3.85), postoperative transfusion (OR, 2.46; 95% CI, 1.43 to 4.26), postoperative special care unit stay (OR, 4.68; 95% CI, 1.99 to 11.0) and chronic kidney disease (OR, 3.27; 95% CI, 1.15 to 9.28) were associated with a higher odds of developing inpatient complications. No association was present between summer surgeries and SSIs (p=0.486). Conclusions: The results of this study show that overall complication rates following TKA exhibit a seasonal trend, with a peak during the summer months. These results may have some implication in clinical practice and stricter approaches to hospital guidelines during the summer months.

참고문헌 (30)

  1. Anderson JG, "Functional outcome and patient satisfaction in total knee patients over the age of 75", J Arthroplasty, 11, pp.831~840 (1996)[DOI]
  2. Hawker G, "Health-related quality of life after knee replacement", J Bone Joint Surg Am, 80, pp.163~173 (1998)[DOI]
  3. Fortin PR, "Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery", Arthritis Rheum, 42, pp.1722~1728 (1999)[DOI]
  4. Dasenbrock HH, "The impact of July hospital admission on outcome after surgery for spinal metastases at academic medical centers in the United States, 2005 to 2008", Cancer, 118, pp.1429~1438 (2012)[DOI]
  5. Englesbe MJ, "Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP)", Ann Surg, 246, pp.456~462 (2007)[DOI]
  6. Young JQ, ""July effect": impact of the academic year-end changeover on patient outcomes: a systematic review", Ann Intern Med, 155, pp.309~315 (2011)[DOI]
  7. Durkin MJ, "Seasonal variation of common surgical site infections: does season matter?", Infect Control Hosp Epidemiol, 36, pp.1011~1016 (2015)[DOI]
  8. Haws BE, "Is there a seasonal influence on orthopaedic surgical wound infection rates?", J Surg Orthop Adv, 25, pp.172~175 (2016)
  9. Shuhaiber JH, "The influence of seasonal variation on cardiac surgery: a time-related clinical outcome predictor", J Thorac Cardiovasc Surg, 136, pp.894~899 (2008)[DOI]
  10. Kane P, "Seasonality of infection rates after total joint arthroplasty", Orthopedics, 37, pp.182~186 (2014)[DOI]
  11. Gross JB, "Estimating allowable blood loss: corrected for dilution", Anesthesiology, 58, pp.277~280 (1983)[DOI]
  12. Hoashi JS, "Is there a "July effect" in surgery for adolescent idiopathic scoliosis?", J Bone Joint Surg Am, 96, pp.e55~ (2014)[DOI]
  13. Inaba K, "Complications and death at the start of the new academic year: is there a July phenomenon?", J Trauma, 68, pp.19~22 (2010)[DOI]
  14. Lesar TS, "Medication prescribing errors in a teaching hospital", JAMA, 263, pp.2329~2334 (1990)[DOI]
  15. Phillips DP, "A July spike in fatal medication errors: a possible effect of new medical residents", J Gen Intern Med, 25, pp.774~779 (2010)[DOI]
  16. Ravi P, "Is there any evidence of a "July effect" in patients undergoing major cancer surgery?", Can J Surg, 57, pp.82~88 (2014)[DOI]
  17. Schroeppel TJ, "The "July phenomenon": is trauma the exception?", J Am Coll Surg, 209, pp.378~384 (2009)[DOI]
  18. Tourangeau AE, "Nursingrelated determinants of 30-day mortality for hospitalized patients", Can J Nurs Res, 33, pp.71~88 (2002)
  19. Patrician PA, "The association of shift-level nurse staffing with adverse patient events", J Nurs Adm, 41, pp.64~70 (2011)[DOI]
  20. Lee DH, "Medical error reduction: the effect of employee satisfaction with organizational support", Serv Ind J, 31, pp.1311~1325 (2001)
  21. Rathert C, "Health care work environments, employee satisfaction, and patient safety: care provider perspectives", Health Care Manage Rev, 32, pp.2~11 (2007)[DOI]
  22. Dailiana ZH, "Clinical and epidemiological features of upper-extremity infections caused by Staphylococcus aureus carrying the PVL gene: a four-year study in Greece", Med Sci Monit, 14, pp.CR511~CR514 (2008)
  23. Tong SY, "Communityassociated methicillin-resistant Staphylococcus aureus skin infections in the tropics", Dermatol Clin, 29, pp.21~32 (2011)[DOI]
  24. Ackland GL, "Chronic kidney disease and postoperative morbidity after elective orthopedic surgery", Anesth Analg, 112, pp.1375~1381 (2011)[DOI]
  25. Bower WF, "Perioperative blood transfusion increases length of hospital stay and number of postoperative complications in non-cardiac surgical patients", Hong Kong Med J, 16, pp.116~120 (2010)
  26. Hill GE, "Allogeneic blood transfusion increases the risk of postoperative bacterial infection: a meta-analysis", J Trauma, 54, pp.908~914 (2003)[DOI]
  27. Mikkola R, "Use of blood products and risk of stroke after coronary artery bypass surgery", Blood Transfus, 10, pp.490~501 (2012)
  28. Kawai M, "Hemolytic anemia and acute renal failure caused by blood transfusions", Rinsho Ketsueki, 31, pp.1706~1710 (1990)
  29. Abelha FJ, "Mortality and length of stay in a surgical intensive care unit", Rev Bras Anestesiol, 56, pp.34~45 (2006)[DOI]
  30. Siddiqui S, "Mortality profile across our intensive care units: a 5-year database report from a Singapore restructured hospital", Indian J Crit Care Med, 19, pp.726~727 (2015)[DOI]

관련 논문AI추천

A Higher Altitude Is Associated with Increased Incidence of Infections following Primary Total Hip ArthroplastyAfshin E. Razi, Andrew R. Horn, Miriam D. Weisberg, Nabil Z. Khan, Rushabh M. Vakharia, Stefan N. Hamaway대한고관절학회 · Hip and Pelvis2021 · 제33권 제4호Perioperative Risk Assessment in Patients Aged 75 Years or Older: Comparison between Bilateral and Unilateral Total Knee Arthroplasty김태경, 라호종, 심상준, 이현일, 최영준, 황도연대한슬관절학회 · Knee Surgery and Related Research2014 · 제26권 제4호Comparison of Difference in Hematologic and Hemodynamic Outcomes between Primary Total Knee Arthroplasty and Revision of Infected Total Knee Arthroplasty류승민, 손욱진, 이동철, Hyo Sae Ahn대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제2호Effect of chronic kidney disease on outcomes of total joint arthroplasty: a meta-analysis왕립, 이승준, Chang-Rack Lee, Chang-Wan Kim, Hyun Jung Kim대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권 A Multivariate Analysis on the Effect of No Closed Suction Drain on the Length of Hospital Stay in Total Knee ArthroplastyHiromu Ito, Kohei Nishitani, Shinichi Kuriyama, Shinichiro Nakamura, Shuicih Matsuda대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 제1호Two-Stage Total Knee Arthroplasty for Prosthetic Joint Infection김동희, 황선철, Dong Yeong Lee, Hong Kwon Yoon, Ho Seung Cho, Min Seok Cha, Sang Hyuk Lee, Se Hyun Cho대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제2호

이 간행물의 다른 논문 (12건)