Risk factors for superficial wound complications in hip and knee arthroplasty
Risk factors for superficial wound complications in hip and knee arthroplasty
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DOI：
10.1111/1469-0691.12209
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发表时间：
2014-02-01
影响因子：
14.2
通讯作者：
Peel, T.
中科院分区：
文献类型：
--
作者：
Carroll, K.;Dowsey, M.;Peel, T.
浅表伤口并发症一直与假体关节感染的发生有关。该队列研究旨在确定与浅表伤口并发症相关的围手术期危险因素。该研究持续了 18 个月（2011 年 1 月至 2012 年 6 月），包括 964 名接受假体髋关节或膝关节置换手术的患者。与浅表伤口并发症相关的因素根据关节置换部位的不同而不同。在联合队列中，以下因素与浅表伤口并发症相关：使用 70% 酒精中的 0.5% 洗必泰进行手术备皮，与 70% 酒精中的 1% 碘相比（比值比 (OR) 4.75；95% 置信区间 (CI) 1.42、15.92；p=0.012）；年龄增加（OR，1.13；95% CI，1.06,1.19；p0.18）；体重指数 (BMI) 增加（OR，1.08；95% CI，1.05，1.12；p
Superficial wound complications have been consistently implicated in the development of prosthetic joint infection. This cohort study aimed to determine perioperative risk factors associated with superficial wound complications. The study was performed over an 18-month period (January 2011 to June 2012) and included 964 patients undergoing prosthetic hip or knee replacement surgery. The factors associated with superficial wound complication differed according to arthroplasty site. In the combined cohort the following factors were associated with superficial wound complications: the use of 0.5% chlorhexidine in 70% alcohol for surgical skin preparation compared with 1% iodine in 70% alcohol (odds ratio (OR) 4.75; 95% confidence interval (CI) 1.42, 15.92; p=0.012); increasing age (OR, 1.13; 95% CI, 1.06,1.19; p0.18); increasing body mass index (BMI) (OR, 1.08; 95% CI, 1.05,1.12; p