医学
止血带
体质指数
糖尿病
关节置换术
外科
全膝关节置换术
贫血
股神经阻滞
麻醉
内科学
内分泌学
作者
Zachary Crespi,Aya Ismail,Mohamed E. Awad,Ahmad Hasan,Furqan B. Irfan,M. Arfan Jaffar,Mouhanad M. El-Othmani,Khaled J. Saleh
出处
期刊:Jbjs reviews
[Journal of Bone and Joint Surgery]
日期:2021-07-01
卷期号:9 (7)
被引量:35
标识
DOI:10.2106/jbjs.rvw.20.00240
摘要
» In 2016, a total of 48,771 hospital-acquired conditions (HACs) were reported in U.S. hospitals. These incidents resulted in an excess cost of >$2 billion, which translates to roughly $41,000 per patient per HAC. » In the settings of total hip arthroplasty (THA) and total knee arthroplasty (TKA), increased age, a body mass index of >35 kg/m 2 , male sex, diabetes mellitus, electrolyte disturbances, and a history of anemia increase the likelihood of surgical site infections. » Institution-specific (surgical) risk factors such as increased tourniquet time, an operative time of >130 minutes, bilateral procedures, a femoral nerve block, and general anesthesia increase the risk of HACs in the settings of THA and TKA.
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