Evidence map›Paper›PMID 34938691›Full record

ArticleHip & pelvis2021

A Higher Altitude Is Associated with Increased Incidence of Infections following Primary Total Hip Arthroplasty.

Nabil Z Khan, Stefan N Hamaway, Miriam D Weisberg, Andrew R Horn, Rushabh M Vakharia, Afshin E Razi

Abstract read
In one paragraph

Article in Hip & pelvis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Nabil Z KhanDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Stefan N HamawayDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Miriam D WeisbergDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Andrew R HornDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Rushabh M VakhariaDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.ORCID https://orcid.org/0000-0003-2008-0821
Afshin E RaziDepartment of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate whether patients undergoing primary total hip arthroplasty (THA) at a higher elevation have higher rates of: 1) in-hospital length of stay (LOS); 2) surgical site infections (SSIs); 3) periprosthetic joint infections (PJIs); and 4) costs. MATERIALS AND

methodsThe Medicare claims database was used to identify patients who underwent primary THA at an altitude higher than 4,000 feet (ft). High-altitude patients were matched to patients who underwent primary THA at an altitude less than 100 ft, yielding 24,958 and 124,765 patients respectively. Outcomes that were assessed included in-hospital LOS, SSIs, PJIs, and costs of care. A

resultsPatients in the study group had significantly longer in-hospital LOS (4 days vs 3 days,

conclusionThis study demonstrated that primary THA procedures performed at an elevation higher than 4,000 ft are associated with longer in-hospital LOS, higher rates of SSIs, PJIs, and costs of care. Orthopedists and other healthcare professionals can use this information to provide adequate education for these patients regarding the potential complications that may occur following their procedure.

Indexed as

AltitudeCostsDatabaseMedicareTotal hip arthroplasty

Identifiers

PMID34938691
PMCPMC8654588

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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.