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. 2015 Sep;30(9):1492-7.
doi: 10.1016/j.arth.2015.03.035. Epub 2015 Mar 31.

Quantifying the Burden of Revision Total Joint Arthroplasty for Periprosthetic Infection

Atul F Kamath  1 , Kevin L Ong  2 , Edmund Lau  3 , Vanessa Chan  4 , Thomas P Vail  5 , Harry E Rubash  6 , Daniel J Berry  7 , Kevin J Bozic  4
Affiliations

Quantifying the Burden of Revision Total Joint Arthroplasty for Periprosthetic Infection

Atul F Kamath et al. J Arthroplasty. 2015 Sep.

Abstract

Periprosthetic joint infection (PJI) represents substantial clinical and economic burdens. This study evaluated patient and procedure characteristics and resource utilization associated with revision arthroplasty for PJI. The Nationwide Inpatient Sample (Q4 2005-2010) was analyzed for 235,857 revision THA (RTHA) and 301,718 revision TKA (RTKA) procedures. PJI was the most common indication for RTKA, and the third most common reason for RTHA. PJI was most commonly associated with major severity of illness (SOI) in RTHA, and with moderate SOI in RTKA. RTHA and RTKA for PJI had the longest length of stay. Costs were higher for RTHA/RTKA for PJI than for any other diagnosis except periprosthetic fracture. Epidemiologic differences exist in the rank, severity and populations for RTHA and RTKA for PJI.

Keywords: epidemiology; infection; revision arthroplasty; total hip arthroplasty (replacement); total knee arthroplasty.

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