Hospital-Acquired Conditions: A Review of Classical and Novel Risk Factors Following Total Hip and Knee Arthroplasties.

JBJS Rev · Jul 16 2021 · Review

Crespi Z, Ismail A, Awad ME, Hasan AI, Irfan FB, Jaffar M, et al.

FAJR Scientific, Northville, Michigan

Adult Reconstruction

SUMMARY — THE REDUCTIONThis review identifies patient factors (older age, obesity, diabetes, anemia) and surgical factors (longer tourniquet/operative time, general anesthesia) that raise the risk of hospital-acquired complications after THA and TKA.
Abstract, as published

»: In 2016, a total of 48,771 hospital-acquired conditions (HACs) were reported in U.S. hospitals. These incidents resulted in an excess cost of >$2 billion, which translates to roughly $41,000 per patient per HAC.

»: In the settings of total hip arthroplasty (THA) and total knee arthroplasty (TKA), increased age, a body mass index of >35 kg/m2, male sex, diabetes mellitus, electrolyte disturbances, and a history of anemia increase the likelihood of surgical site infections.

»: Institution-specific (surgical) risk factors such as increased tourniquet time, an operative time of >130 minutes, bilateral procedures, a femoral nerve block, and general anesthesia increase the risk of HACs in the settings of THA and TKA.

Read the article: PubMed · Publisher (DOI)

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