Evidence map›Paper›PMID 40027221›Full record

ReviewArchives of academic emergency medicine2025

Incidence and Risk Factors of Surgical Site Infection After Knee Arthroplasty; a Systematic Review and Meta-Analysis.

Ayub Bagheri, Alireza Sharifi Niknafs, Bahar Farhadi, Seyed Amirhossein Mazhari, Parnia Karimian, Nafiseh Hekmati Pour, Hamid Hojjati, Iman Nosratabadi, Azadeh Emami, Reza Salehi

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PubMed Full text at PMC Publisher
In one paragraph

Review in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ayub BagheriDepartment of General Surgery, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran.
Alireza Sharifi NiknafsSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Bahar FarhadiSchool ofMedicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran.
Seyed Amirhossein MazhariStudent Research Committee, Azerbaijan Medical University, Baku, Azerbaijan.
Parnia KarimianDepartment of Anesthesiology, Allied Medical School, Iran University of Medical Sciences, Tehran, Iran.
Nafiseh Hekmati PourDepartment of Nursing, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran.
Hamid HojjatiNursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Iman NosratabadiDepartment of Nursing, Sirjan School of Medical Sciences, Sirjan, Iran.
Azadeh EmamiDepartment of Anesthesiology, School of Medicine, Iran University of Medical.
Reza SalehiDepartment of Anesthesiology, School of Medicine, Iran University of Medical.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Surgical site infection (SSI) constitutes a substantial complication after knee arthroplasty, contributing to notable morbidity. This study aimed to review the existing literature on the incidence and risk factors of SSI following knee arthroplasty. Methods: A systematic search was undertaken across various international electronic databases, including Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex and the Scientific Information Database. The search strategy involved the use of keywords derived from Medical Subject Headings, such as "incidence", "Surgical wound infection", "Surgical site infection", and "Arthroplasty", covering records from the earliest available up to March 17, 2024. Results: The study incorporated a collective participant group of 1,366,494 knee arthroplasty procedures from twenty-three chosen studies. The pooled incidence rate of SSI after knee arthroplasty was 1.7% (95% confidence interval (CI): 1.1% to 2.6%; I²=99.687%; P<0.001). The Odds Ratio (OR) for the incidence of SSI in males was observed to be significantly higher than that in females (OR: 1.617; 95% CI: 1.380 to 1.894; Z=5.951; P<0.001). The pooled incidence of SSI among diabetic patients was 1.3% (95% CI: 0.6% to 2.8%; I²=99.126%; P<0.001). Conclusion: Based on the main findings, SSIs continue to be a significant complication of knee arthroplasty, with an incidence of 1.1% to 2.6%. Male gender and diabetes mellitus were associated with an augmented probability of SSIs following knee arthroplasty.

Indexed as

ArthroplastyIncidenceMeta-analysisSurgical Wound Infection

Identifiers

PMID40027221
PMCPMC11870287

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