The projected burden of complex surgical site infections following hip and knee arthroplasties in adults in the United States, 2020 through 2030

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Hannah M WolfordRachel B Slayton

Abstract

As the US population ages, the number of hip and knee arthroplasties is expected to increase. Because surgical site infections (SSIs) following these procedures contribute substantial morbidity, mortality, and costs, we projected SSIs expected to occur from 2020 through 2030. We used a stochastic Poisson process to project the number of primary and revision arthroplasties and SSIs. Primary arthroplasty rates were calculated using annual estimates of hip and knee arthroplasty stratified by age and gender from the 2012-2014 Nationwide Inpatient Sample and standardized by census population data. Revision rates, dependent on time from primary procedure, were obtained from published literature and were uniformly applied for all ages and genders. Stratified complex SSI rates for arthroplasties were obtained from 2012-2015 National Healthcare Safety Network data. To evaluate the possible impact of prevention measures, we recalculated the projections with an SSI rate reduced by 30%, the national target established by the US Department of Health and Human Services (HHS). Without a reduction in SSI rates, we projected an increase in complex SSIs following hip and knee arthroplasty of 14% between 2020 and 2030. We projected a total burden...Continue Reading

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Citations

Jul 24, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Edison J CanoGina A Suh
May 29, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Lynn N LethbridgeMichael J Dunbar
Aug 29, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Janneke D M VerberkMaaike S M van Mourik
Jul 27, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Rashid TikhilovStanislav Bilyk
Dec 29, 2019·Journal of Orthopaedic Surgery and Research·Qing-Yuan ZhengGuo-Qiang Zhang
Oct 17, 2019·The Journal of Arthroplasty·Lynn N LethbridgeMichael J Dunbar
Mar 6, 2021·Journal of Materials Chemistry. B, Materials for Biology and Medicine·Zheng-Yang ChenFang Zhou

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