Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review

Donna M. Urquhart; Fahad S. Hanna; Sharon L. Brennan; Anita E. Wluka; Karin Leder; Peter A. Cameron; Stephen E. Graves; Flavia M. Cicuttini

doi:10.1016/j.arth.2009.08.011

Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review

Donna M. Urquhart, Fahad S. Hanna, Sharon L. Brennan, Anita E. Wluka, Karin Leder, Peter A. Cameron, Stephen E. Graves, Flavia M. Cicuttini

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192 Citations (Scopus)

Abstract

Although deep surgical site infection (SSI) is a major complication of primary total hip arthroplasty (THA), there are conflicting data regarding the incidence of deep SSI, and no comprehensive evaluation of the associated risk factors has been undertaken. We performed a systematic review of the literature; undertaking computer-aided searches of electronic databases, assessment of methodological quality, and a best-evidence synthesis. The incidence of SSI ranged from 0.2% before discharge to 1.1% for the period up to and including 5 years post surgery. Greater severity of a pre-existing illness and a longer duration of surgery were found to be independent risk factors for deep SSI. There is a need for high-quality, prospective studies to further identify modifiable risk factors for deep SSI after THA.

Original language	English
Pages (from-to)	1216-1222.e3
Journal	Journal of Arthroplasty
Volume	25
Issue number	8
DOIs	https://doi.org/10.1016/j.arth.2009.08.011
Publication status	Published - Dec 2010
Externally published	Yes

Keywords

Hip arthroplasty/replacement
Incidence
Infection
Risk factor
Systematic review

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10.1016/j.arth.2009.08.011

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title = "Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review",

abstract = "Although deep surgical site infection (SSI) is a major complication of primary total hip arthroplasty (THA), there are conflicting data regarding the incidence of deep SSI, and no comprehensive evaluation of the associated risk factors has been undertaken. We performed a systematic review of the literature; undertaking computer-aided searches of electronic databases, assessment of methodological quality, and a best-evidence synthesis. The incidence of SSI ranged from 0.2% before discharge to 1.1% for the period up to and including 5 years post surgery. Greater severity of a pre-existing illness and a longer duration of surgery were found to be independent risk factors for deep SSI. There is a need for high-quality, prospective studies to further identify modifiable risk factors for deep SSI after THA.",

keywords = "Hip arthroplasty/replacement, Incidence, Infection, Risk factor, Systematic review",

author = "Urquhart, {Donna M.} and Hanna, {Fahad S.} and Brennan, {Sharon L.} and Wluka, {Anita E.} and Karin Leder and Cameron, {Peter A.} and Graves, {Stephen E.} and Cicuttini, {Flavia M.}",

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AU - Urquhart, Donna M.

AU - Hanna, Fahad S.

AU - Brennan, Sharon L.

AU - Wluka, Anita E.

AU - Leder, Karin

AU - Cameron, Peter A.

AU - Graves, Stephen E.

AU - Cicuttini, Flavia M.

PY - 2010/12

Y1 - 2010/12

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AB - Although deep surgical site infection (SSI) is a major complication of primary total hip arthroplasty (THA), there are conflicting data regarding the incidence of deep SSI, and no comprehensive evaluation of the associated risk factors has been undertaken. We performed a systematic review of the literature; undertaking computer-aided searches of electronic databases, assessment of methodological quality, and a best-evidence synthesis. The incidence of SSI ranged from 0.2% before discharge to 1.1% for the period up to and including 5 years post surgery. Greater severity of a pre-existing illness and a longer duration of surgery were found to be independent risk factors for deep SSI. There is a need for high-quality, prospective studies to further identify modifiable risk factors for deep SSI after THA.

KW - Hip arthroplasty/replacement

KW - Incidence

KW - Infection

KW - Risk factor

KW - Systematic review

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ER -

Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review

Abstract

Keywords

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