ArticleThe Journal of arthroplasty2018
Implementation of Preoperative Screening Criteria Lowers Infection and Complication Rates Following Elective Total Hip Arthroplasty and Total Knee Arthroplasty in a Veteran Population.
Article in The Journal of arthroplasty, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Preoperative Albumin, Transferrin, and Total Lymphocyte Count as Risk Markers for Postoperative Complications After Total Joint Arthroplasty: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020Pooled it
- Article
- Influenza infection has higher risk of postoperative complications than COVID-19 in shoulder arthroplasty patients.Shoulder & elbow · 2026Article
- Preoperative optimization of modifiable risk factors is associated with decreased superficial surgical site infections after total joint arthroplasty: a prospective case-control study.Acta orthopaedica · 2024Article
- Outcomes of Total Hip Arthroplasty Performed for HIV-Associated Osteonecrosis in China: A Retrospective Cohort Study.Current HIV research · 2024Article
- Total Knee Arthroplasty: Is It Safe? A Single-Center Study of 4,124 Patients in South Korea.Clinics in orthopedic surgery · 2023Article
- Analysis of related factors of scheduled ICU before primary hip arthroplasty.BMC anesthesiology · 2022Article
- Does Risk Mitigation Reduce 90-Day Complications in Patients Undergoing Total Knee Arthroplasty?: A Cohort Study.Clinics in orthopedic surgery · 2022Article
- Consensus Guidelines on Interventional Therapies for Knee Pain (STEP Guidelines) from the American Society of Pain and Neuroscience.Journal of pain research · 2022Review
- Prevalence and risk factors of surgical site infection after closed isolated patella fracture surgery: A prospective cohort study.International orthopaedics · 2021Article
- Preoperative risk factors for postoperative cardiac arrest following primary total hip and knee arthroplasty: A large database study.Journal of clinical orthopaedics and trauma · 2021Article
- Fructosamine is a valuable marker for glycemic control and predicting adverse outcomes following total hip arthroplasty: a prospective multi-institutional investigation.Scientific reports · 2021Article
- Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?Arthroplasty today · 2020Article
- Prevention of Periprosthetic Joint Infection in Total Knee Arthroplasty: Main Studies Reported Between November 2017 and January 2020.The archives of bone and joint surgery · 2020Article
- Surgical selection criteria compliance is associated with a lower risk of periprosthetic joint infection in total hip arthroplasty.Arthroplasty today · 2019Article
- Assessment for Perioperative Hyperglycemia Prior to Total Joint Replacement in Patients With and Without Diabetes.JAMA network open · 2019Article
- Surgical site infection following elective orthopaedic surgeries in geriatric patients: Incidence and associated risk factors.International wound journal · 2019Article
- Preoperative Serum Albumin Levels Predict Treatment Cost in Total Hip and Knee Arthroplasty.Clinics in orthopedic surgery · 2018Article
- Impact of Perioperative HbA1c on Reimbursements in Diabetes Mellitus Patients Undergoing Total Hip Arthroplasty: A Nationwide Analysis.The Journal of arthroplasty · 2018Article
- Hypoalbuminemia remains an independent predictor of complications following total joint arthroplasty.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal hip arthroplasty (THA) and total knee arthroplasty (TKA) are common procedures with a risk of complications. Attempting to minimize complications, our institution implemented preoperative screening criteria for patients undergoing elective total joint replacement. Our study aimed to determine if screening criteria lowered total complications and/or surgical site infections (SSI).
methodsTwo groups of consecutive patients undergoing TKA and THA at a single Veterans Affairs facility were evaluated prior to and after implementation of screening criteria, 520 and 475 respectively. Screening criteria included hemoglobin A1c ≤7, hemoglobin ≥11, body mass index ≤35, and albumin ≥3.5. Groups were analyzed for demographics, preoperative comorbidities, and postoperative complications. Rates of total complications and SSI were compared. Average follow-up was at least 2 years with minimum of 1 year.
resultsDemographics and comorbidities outside the screening criteria were similar. Total complication rate was reduced from 35.4% to 14.8% (P < .01) after implementation of screening criteria. For TKA, total complications were reduced from 33.1% to 15.0% (P < .01) and for THA they were reduced from 42.4% to 14.2% (P < .01). SSI rates for combined TKA and THA were reduced from 4.4% to 1.3% (P < .01). For knees, SSI was reduced from 4.6% to 1.3% (P = .01) and was statistically significant. For THA, SSI decreased from 3.8% to 1.2% (P < .05).
conclusionOur institution saw a statistically significant decrease in both SSI and total complications following implementation of preoperative screening criteria for elective TKA and THA.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.