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Review
. 2021 Jul 16;9(7).
doi: 10.2106/JBJS.RVW.20.00240.

Hospital-Acquired Conditions: A Review of Classical and Novel Risk Factors Following Total Hip and Knee Arthroplasties

Zachary Crespi  1 , Aya Ismail  2 , Mohamed E Awad  3   4   5   6 , Ahmad I Hasan  3   4   7 , Furqan B Irfan  6 , Muhammad Jaffar  5 , Mouhanad M El-Othmani  8 , Khaled J Saleh  3   4   6
Affiliations
Review

Hospital-Acquired Conditions: A Review of Classical and Novel Risk Factors Following Total Hip and Knee Arthroplasties

Zachary Crespi et al. JBJS Rev. .

Abstract

»: 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/m2, 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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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A722).

References

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