ArticleThe Journal of arthroplasty2018
The Seasonal Variability of Surgical Site Infections in Knee and Hip Arthroplasty.
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 23 papers.
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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.
The trial behind it
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
23 citing papers in PubMed.
- Changes in Trends of Shoulder and Knee Arthroscopy Because of the COVID-19 Pandemic.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Impact of temperature and humidity on periprosthetic joint infections following total knee arthroplasty: a 12-year study in a Mediterranean climate.Archives of orthopaedic and trauma surgery · 2025Article
- Seasonal Factors Associated with Surgical Site Infections Following Gynecologic and Obstetric Surgeries and Pathogen Identification: A Retrospective Study in A Single Center in China.Risk management and healthcare policy · 2025Article
- A Higher Charlson Comorbidity Index Is a Risk Factor for Hip Fracture in Older Adults During Low-Temperature Periods: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2024Article
- Seasonal Impact on Wound Healing and Surgical Site Infections after Reduction Mammoplasty.Journal of clinical medicine · 2024Article
- The Temporality of Deep Surgical Site Infection Rates Following Spinal Laminectomy and Fusion.International journal of spine surgery · 2022Article
- Risk factors associated with surgical site infections following joint replacement surgery: a narrative review.Arthroplasty (London, England) · 2022Review
- Association of Warmer Weather and Infectious Complications Following Transrectal Ultrasound-Guided Prostate Biopsy.Journal of personalized medicine · 2022Article
- Seasonal impact on surgical site infections and wound healing disturbance in carpal tunnel surgery: A retrospective cohort study.International wound journal · 2021Article
- Warm Weather and Surgical Site Infections: A Meta-analysis.Plastic and reconstructive surgery. Global open · 2021Article
- Incidence of Surgical Site Infections in Multicenter Study-Implications for Surveillance Practice and Organization.International journal of environmental research and public health · 2021Article
- Patient-Related Risk Factors for Unplanned 30-Day Hospital Readmission Following Primary and Revision Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2021Review
- Revision for periprosthetic joint infection rate stratified by seasonality of operation in a national population of total and unicompartmental knee arthroplasty patients: a register-based analysis.Journal of bone and joint infection · 2021Article
- Seasonal effect on the incidence of post-operative wound complications after trauma-related surgery of the foot, ankle and lower leg.Archives of orthopaedic and trauma surgery · 2020Article
- Healthcare resources attributable to methicillin-resistant Staphylococcus aureus orthopedic surgical site infections.Scientific reports · 2020Article
- Seasonal influence on postoperative hip fracture complications: Retrospective cohort of more than 1000 patients from a tertiary-care university hospital.Annals of medicine and surgery (2012) · 2020Article
- Effectiveness of Iodophor vs Chlorhexidine Solutions for Surgical Site Infections and Unplanned Reoperations for Patients Who Underwent Fracture Repair: The PREP-IT Master Protocol.JAMA network open · 2020Article
- Review
- Medicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.Journal of comparative effectiveness research · 2019Article
- The Association of Climatic Factors with Rates of Surgical Site Infections: 17 Years' Data From Hospital Infection Surveillance.Deutsches Arzteblatt international · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSurgical site infections (SSIs) after total knee (TKA) and total hip (THA) arthroplasty are devastating to patients and costly to healthcare systems. The purpose of this study is to investigate the seasonality of TKA and THA SSIs at a national level.
methodsAll data were extracted from the National Readmission Database for 2013 and 2014. Patients were included if they had undergone TKA or THA. We modeled the odds of having a primary diagnosis of SSI as a function of discharge date by month, payer status, hospital size, and various patient co-morbidities. SSI status was defined as patients who were readmitted to the hospital with a primary diagnosis of SSI within 30 days of their arthroplasty procedure.
resultsThere were 760,283 procedures (TKA 424,104, THA 336,179) in our sample. Our models indicate that SSI risk was highest for patients discharged from their surgery in June and lowest for December discharges. For TKA, the odds of a 30-day readmission for SSI were 30.5% higher at the peak compared to the nadir time (95% confidence interval [CI] 20-42). For THA, the seasonal increase in SSI was 19% (95% CI 9-30). Compared to Medicare, patients with Medicaid as the primary payer had a 49% higher odds of 30-day SSI after TKA (95% CI 32-68).
conclusionSSIs following TKA and THA are seasonal peaking in summer months. Payer status was also a significant risk factor for SSIs. Future studies should investigate potential factors that could relate to the associations demonstrated in this study.
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