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Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures.

Publication ,  Journal Article
Dicks, KV; Baker, AW; Durkin, MJ; Anderson, DJ; Moehring, RW; Chen, LF; Sexton, DJ; Weber, DJ; Lewis, SS
Published in: Infect Control Hosp Epidemiol
December 2015

OBJECTIVE: To determine the association (1) between shorter operative duration and surgical site infection (SSI) and (2) between surgeon median operative duration and SSI risk among first-time hip and knee arthroplasties. DESIGN: Retrospective cohort study SETTING: A total of 43 community hospitals located in the southeastern United States. PATIENTS: Adults who developed SSIs according to National Healthcare Safety Network criteria within 365 days of first-time knee or hip arthroplasties performed between January 1, 2008 and December 31, 2012. METHODS: Log-binomial regression models estimated the association (1) between operative duration and SSI outcome and (2) between surgeon median operative duration and SSI outcome. Hip and knee arthroplasties were evaluated in separate models. Each model was adjusted for American Society of Anesthesiology score and patient age. RESULTS: A total of 25,531 hip arthroplasties and 42,187 knee arthroplasties were included in the study. The risk of SSI in knee arthroplasties with an operative duration shorter than the 25th percentile was 0.40 times the risk of SSI in knee arthroplasties with an operative duration between the 25th and 75th percentile (risk ratio [RR], 0.40; 95% confidence interval [CI], 0.38-0.56; P<.01). Short operative duration did not demonstrate significant association with SSI for hip arthroplasties (RR, 1.04; 95% CI, 0.79-1.37; P=.36). Knee arthroplasty surgeons with shorter median operative durations had a lower risk of SSI than surgeons with typical median operative durations (RR, 0.52; 95% CI, 0.43-0.64; P<.01). CONCLUSIONS: Short operative durations were not associated with a higher SSI risk for knee or hip arthroplasty procedures in our analysis.

Duke Scholars

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

December 2015

Volume

36

Issue

12

Start / End Page

1431 / 1436

Location

United States

Related Subject Headings

  • Time Factors
  • Surgical Wound Infection
  • Surgical Procedures, Operative
  • Southeastern United States
  • Retrospective Studies
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Hospitals, Community
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Dicks, K. V., Baker, A. W., Durkin, M. J., Anderson, D. J., Moehring, R. W., Chen, L. F., … Lewis, S. S. (2015). Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures. Infect Control Hosp Epidemiol, 36(12), 1431–1436. https://doi.org/10.1017/ice.2015.222
Dicks, Kristen V., Arthur W. Baker, Michael J. Durkin, Deverick J. Anderson, Rebekah W. Moehring, Luke F. Chen, Daniel J. Sexton, David J. Weber, and Sarah S. Lewis. “Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures.Infect Control Hosp Epidemiol 36, no. 12 (December 2015): 1431–36. https://doi.org/10.1017/ice.2015.222.
Dicks KV, Baker AW, Durkin MJ, Anderson DJ, Moehring RW, Chen LF, et al. Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures. Infect Control Hosp Epidemiol. 2015 Dec;36(12):1431–6.
Dicks, Kristen V., et al. “Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures.Infect Control Hosp Epidemiol, vol. 36, no. 12, Dec. 2015, pp. 1431–36. Pubmed, doi:10.1017/ice.2015.222.
Dicks KV, Baker AW, Durkin MJ, Anderson DJ, Moehring RW, Chen LF, Sexton DJ, Weber DJ, Lewis SS. Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures. Infect Control Hosp Epidemiol. 2015 Dec;36(12):1431–1436.
Journal cover image

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

December 2015

Volume

36

Issue

12

Start / End Page

1431 / 1436

Location

United States

Related Subject Headings

  • Time Factors
  • Surgical Wound Infection
  • Surgical Procedures, Operative
  • Southeastern United States
  • Retrospective Studies
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Hospitals, Community