Evidence map›Paper›PMID 30790453›Full record

ArticleInternational wound journal2019

Surgical site infection following elective orthopaedic surgeries in geriatric patients: Incidence and associated risk factors.

Zhiquan Liang, Kai Rong, Wenfei Gu, Xin Yu, Rui Fang, Yingjie Deng, Laijin Lu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Perioperative Considerations for Orthopedic Surgery in a Geriatric Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  14. Review
  15. Observational
  16. Arthroscopic rotator cuff repair without antibiotic prophylaxis does not increase the infection rate.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zhiquan LiangDepartment of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China.
Kai RongDepartment of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China.
Wenfei GuDepartment of Spine Surgery, Traditional Chinese Hospital, Xinjiang Medical University, Urumqi, Xinjiang, P.R. China.
Xin YuDepartment of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China.
Rui FangDepartment of Joint Surgery, Traditonal Chinese Hospital, Xinjiang Medical University, Xinjiang, P.R. China.
Yingjie DengDepartment of Joint Surgery, Traditonal Chinese Hospital, Xinjiang Medical University, Xinjiang, P.R. China.
Laijin LuDepartment of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purposes of this study were to investigate the incidence of surgical site infection (SSI) following geriatric elective orthopaedic surgeries and identify the associated risk factors This was a retrospective two-institution study. Between January 2014 and September 2017, patients aged 60 years or older undergoing elective orthopaedic surgeries were included for data collection and analysis. SSI was identified through the review of patients' medical records for the index surgery and through the readmission diagnosis of SSI. Patients' demographics, characteristics of disease, surgery-related variables, and laboratory examination indexes were inquired and documented. Univariate and multivariate logistic analyses were performed to determine independent risk factors for SSI. There were 4818 patients undergoing elective orthopaedic surgeries, and within postoperative 1 year, 74 patients were identified to develop SSIs; therefore, the overall incidence of SSI was 3.64%, with 0.4% for deep and 1.1% for superficial infection. Staphylococcus aureus (25/47, 53.2%) and coagulase-negative staphylococci (11/47, 23.4%) were the most common causative pathogens; half of S. aureus SSIs were caused by Methicillin-resistant Staphylococcus aureus (MRSA) (12/25, 48.0%). Five risk factors were identified to be independently associated with SSI, including diabetes mellitus (odds ratio [OR], 3.7; 95% confidence interval [95% CI], 1.7-5.6), morbid obesity (OR, 2.6; 95% CI, 1.3-3.9), tobacco smoking (OR, 4.2; 95% CI, 2.1-6.4), surgical duration>75th percentile (OR, 1.9; 95% CI, 1.0-2.9), and ALB < 35.0 g/L (OR, 2.3; 95% CI, 1.3-3.4). We recommend the optimisation of modifiable risk factors such as morbid obesity, tobacco smoking, and lower serum albumin level prior to surgeries to reduce the risk of SSI.

Indexed as

AgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedOrthopedic ProceduresRetrospective StudiesRisk FactorsStaphylococcal InfectionsSurgical Wound Infectionelderly patientselective orthopaedic surgeriesmodifiablerisk factorsSSI

Identifiers

PMID30790453
PMCPMC7948685

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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.