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Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control.

Publication ,  Journal Article
Ryan, S; Dilallo, M; McCoy, K; Green, C; Seyler, T
Published in: J Surg Orthop Adv
2019

With an increasing prevalence of diabetes, there is a need to risk stratify arthroplasty patients preoperatively and characterize postoperative infections. This study sought to determine if perioperative markers of diabetic control were associated with infection and to further characterize diabetic periprosthetic joint infections (PJI). A retrospective analysis of 506 diabetic patients and 900 nondiabetic patients who underwent primary total hip and knee arthroplasty was performed. In this cohort, an infection rate of 4.7% and 2.0% for diabetic and nondiabetic patients, respectively, was observed. There was no association between infection at 1 year and preoperative hemoglobin A1C or postoperative blood glucose; however, diabetic infections were significantly more likely to be deep (HR = 4.6; p < .001) and present >6 weeks postoperatively (HR = 8.0; p = .001). This study concluded that common markers of glycemic control are not predictive of the increased risk of diabetic PJI and alternative markers should be investigated. (Journal of Surgical Orthopaedic Advances 28(2):127-131, 2019).

Duke Scholars

Published In

J Surg Orthop Adv

ISSN

1548-825X

Publication Date

2019

Volume

28

Issue

2

Start / End Page

127 / 131

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prosthesis-Related Infections
  • Humans
  • Diabetes Mellitus
  • Diabetes Complications
  • Blood Glucose
  • Arthroplasty, Replacement, Hip
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ryan, S., Dilallo, M., McCoy, K., Green, C., & Seyler, T. (2019). Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control. J Surg Orthop Adv, 28(2), 127–131.
Ryan, Sean, Marcus Dilallo, Kevin McCoy, Cindy Green, and Thorsten Seyler. “Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control.J Surg Orthop Adv 28, no. 2 (2019): 127–31.
Ryan S, Dilallo M, McCoy K, Green C, Seyler T. Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control. J Surg Orthop Adv. 2019;28(2):127–31.
Ryan, Sean, et al. “Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control.J Surg Orthop Adv, vol. 28, no. 2, 2019, pp. 127–31.
Ryan S, Dilallo M, McCoy K, Green C, Seyler T. Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control. J Surg Orthop Adv. 2019;28(2):127–131.

Published In

J Surg Orthop Adv

ISSN

1548-825X

Publication Date

2019

Volume

28

Issue

2

Start / End Page

127 / 131

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prosthesis-Related Infections
  • Humans
  • Diabetes Mellitus
  • Diabetes Complications
  • Blood Glucose
  • Arthroplasty, Replacement, Hip