Prosthetic Joint Infection Risk After Total Hip Arthroplasty in the Medicare Population
Section snippets
Materials and Methods
Patients who underwent elective and non-elective primary THA were identified from the 1997 to 2006 Medicare 5% national sample administrative claims database. International Classification of Diseases, Ninth Revision, Clinical Modification code 81.51 and Current Procedural Terminology, Fourth Edition, code 27130 were used to identify primary THA patients. An overall patient cohort (elective and non-elective) and an elective patient cohort were analyzed for this study. Primary patients who were
Results
A total of 39 929 elective and non-elective primary THA patients were identified between 1997 and 2006. Eight hundred eighty-seven patients (2.22%) from this cohort were diagnosed with infection during the study period. Most infections (73.3%) were diagnosed within the first 2 years postoperatively: the incidence of infection was 1.63% (n = 650) within 2 years and 0.59% (n = 237) between 2 and 10 years.
For the overall patient cohort, the presence of preexisting comorbidities significantly
Discussion
Periprosthetic joint infection continues to be a challenging complication after total joint arthroplasty, requiring significant medical resources to prevent, diagnose, treat, and manage 1, 6, 19. The understanding of the timing of infection and its associated risk factors can help surgeons identify high-risk patients and develop strategies for patient management during follow-up. Although our findings show that most primary THA patients are diagnosed with infection within the first 2 years
References (31)
- et al.
Infection burden for hip and knee arthroplasty in the United States
J Bone Joint Surg Am
(2008) - et al.
Presence of medical comorbidities in patients with infected primary hip or knee arthroplasties
J Arthroplasty
(2007) - et al.
Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases
J Clin Epidemiol
(1992) - et al.
Predictors of wound infection in hip and knee joint replacement: results from a 20 year surveillance program
J Orthop Res
(2002) - et al.
Effect of procedure duration on total hip arthroplasty and total knee arthroplasty survivorship in the United States Medicare population
J Arthroplasty
(2008) - et al.
Impact of payer type on resource utilization, outcomes and access to care in total hip arthroplasty
J Arthroplasty
(2008) - et al.
Pay-for-performance in orthopedics: implications for clinical practice
J Arthroplasty
(2007) - et al.
The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization
J Bone Joint Surg Am
(2005) - et al.
The epidemiology of revision total hip arthroplasty in the United States
J Bone Joint Surg Am
(2009) - et al.
Risk factors in total joint arthroplasty: comparison of infection rates in patients with different socioeconomic backgrounds
Orthopedics
(2008)
Obesity is a major risk factor for prosthetic infection after primary hip arthroplasty
Clin Orthop Relat Res
Periprosthetic joint infection: the incidence, timing, and predisposing factors
Clin Orthop Relat Res
Differences in outcomes of obese women and men undergoing primary total hip arthroplasty
Arthritis Rheum
Operating time and survival of primary total hip replacements: an analysis of 31,745 primary cemented and uncemented total hip replacements from local hospitals reported to the Norwegian Arthroplasty Register 1987-2001
Acta Orthop Scand
Efficacy of antibiotic-impregnated cement in total hip replacement
Acta Orthop
Cited by (430)
Preparation and characterizations of antibacterial iodine-containing coatings on pure Ti
2024, Journal of the Mechanical Behavior of Biomedical MaterialsThe Impact of Preoperative Weight Loss Timing on Surgical Outcomes in Total Hip Arthroplasty
2024, Journal of ArthroplastyThe Utility of the Social Vulnerability Index as a Proxy for Social Disparities Following Total Knee Arthroplasty
2024, Journal of Arthroplasty
No benefits or funds were received in support of the study.