Evidence map›Paper›PMID 31501765›Full record

ArticleHip & pelvis2019

Debridement, Antibiotics and Implant Retention for Early Periprosthetic Infections of the Hip: Outcomes and Influencing Factors.

Iker Uriarte, Jesús Moreta, Javier Mosquera, María J Legarreta, Urko Aguirre, José L Martínez de Los Mozos

Open access · bronzeAbstract read
In one paragraph

Article in Hip & pelvis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

6 authors at 1 institution in 1 country.

Iker UriarteDepartment of Orthopaedic Surgery and Traumatology, Hospital Galdakao-Usansolo, Galdakao, Spain.ORCID https://orcid.org/0000-0002-6256-7446
Jesús MoretaDepartment of Orthopaedic Surgery and Traumatology, Hospital Galdakao-Usansolo, Galdakao, Spain.
Javier MosqueraDepartment of Orthopaedic Surgery and Traumatology, Hospital Galdakao-Usansolo, Galdakao, Spain.
María J LegarretaResearch Unit, Hospital Galdakao-Usansolo, Galdakao, Spain.
Urko AguirreResearch Unit, Hospital Galdakao-Usansolo, Galdakao, Spain.
José L Martínez de Los MozosDepartment of Orthopaedic Surgery and Traumatology, Hospital Galdakao-Usansolo, Galdakao, Spain.
Hospital de Galdakao · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDebridement, antibiotics and implant retention (DAIR) is commonly performed and widely accepted for the treatment of acute infections following hip arthroplasty. The aims of this study were to: i) determine the DAIR success rate in treating acute postoperative and hematogenous periprosthetic infections of the hip at a tertiary hospital, ii) identify possible outcome predictors, and iii) analyze clinical and radiological outcomes. MATERIALS AND

methodsWe retrospectively reviewed cases of acute postoperative (≤3 months from index procedure) and hematogenous periprosthetic infections following total hip arthroplasty treated with DAIR at our hospital between 2004 and 2015. Overall, 26 hips (25 patients) were included in the study, with a mean age of 72.5 years (standard deviation [SD], 9.4). The mean follow-up was 48.5 months (SD, 43.7). Several variables (e.g., patient characteristics, infection type, surgery parameters) were examined to evaluate their influence on outcomes; functional and radiographic outcomes were assessed.

resultsThe overall success rate of DAIR was 26.9%. The male sex was associated with treatment failure (

conclusionDAIR, despite being used frequently, had a high failure rate in our series. Outcomes improved if an experienced hip arthroplasty surgeon performed the surgery. Patient comorbidities and symptom duration should be considered for decision-making.

Indexed as

Acute infectionAntibioticsDebridementProsthetic infectionTotal hip arthroplasty

Identifiers

PMID31501765
PMCPMC6726868
OpenAlexW2971432383

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.