Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-06

AUTHORS

Michelle M. Dowsey, Peter F. M. Choong

ABSTRACT

We conducted a prospective study of 1214 consecutive primary TKAs to compare the deep prosthetic infection rate between obese and nonobese patients during the first 12 months after surgery. We also sought to determine whether patient or surgical variables such as comorbidities, age, gender, blood transfusion, use of surgical drains, and antibiotic-impregnated cement were predictors of subsequent prosthetic infection after primary TKA. The overall prosthetic infection rate was 1.5% (n = 18). The odds for a deep prosthetic infection were greater in patients with morbid obesity (odds ratio [OR], 8.96; 95% confidence interval, 1.59-50.63) and diabetes (OR, 6.87; 95% confidence interval, 2.42-19.56). Men were more likely to have a prosthetic infection develop than women (OR, 5.93; 95% confidence interval, 1.95-18.04) and the prosthetic infection rate was lower (OR, 0.24; 95% confidence interval, 0.06-0.95) in patients when a surgical drain was used. There were no prosthetic infections in patients with diabetes who were not obese. This compares with 11 prosthetic infections in patients who were obese and diabetic and four prosthetic infections in patients who were obese but not diabetic. Morbid obesity and obesity combined with diabetes are risk factors for periprosthetic infection after TKA. LEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence. More... »

PAGES

1577-1581

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11999-008-0551-6

DOI

http://dx.doi.org/10.1007/s11999-008-0551-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037154340

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18841430


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Age Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Arthroplasty, Replacement, Knee", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Blood Transfusion", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Bone Cements", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Chi-Square Distribution", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Confidence Intervals", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Diabetes Mellitus", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Drainage", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Obesity", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Odds Ratio", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prosthesis-Related Infections", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Risk Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sex Factors", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Melbourne", 
          "id": "https://www.grid.ac/institutes/grid.1008.9", 
          "name": [
            "Department of Orthopaedics, St Vincent\u2019s Hospital Melbourne, Fitzroy, PO Box 2900, 3065, Melbourne, VIC, Australia", 
            "Department of Surgery, Melbourne University, Melbourne, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Dowsey", 
        "givenName": "Michelle M.", 
        "id": "sg:person.0602320707.29", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0602320707.29"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Melbourne", 
          "id": "https://www.grid.ac/institutes/grid.1008.9", 
          "name": [
            "Department of Orthopaedics, St Vincent\u2019s Hospital Melbourne, Fitzroy, PO Box 2900, 3065, Melbourne, VIC, Australia", 
            "Department of Surgery, Melbourne University, Melbourne, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Choong", 
        "givenName": "Peter F. M.", 
        "id": "sg:person.010622362137.43", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010622362137.43"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/s0140-6736(03)13640-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000237247"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(03)13640-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000237247"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1302/0301-620x.88b3.16488", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000570360"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1098-3597(07)80018-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001260468"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.arth.2005.04.023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001622200"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.arth.2005.04.023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001622200"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129334-200410000-00013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003807433"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129334-200410000-00013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003807433"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129334-200410000-00013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003807433"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.mcna.2007.06.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006658220"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.arth.2006.09.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007946942"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/014860719802200277", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010371941"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0753-3322(00)88855-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016998947"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1054/arth.2001.19159", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023153132"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/501620", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027071356"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2008.04554.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034178896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.arth.2007.05.052", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036828800"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11999-007-0016-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046073620", 
          "https://doi.org/10.1007/s11999-007-0016-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11999-007-0016-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046073620", 
          "https://doi.org/10.1007/s11999-007-0016-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/s11999-007-0016-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046073620"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.blo.0000156479.97488.a2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047406746"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.blo.0000156479.97488.a2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047406746"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.blo.0000156479.97488.a2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047406746"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199011000-00023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060163901"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199011000-00023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060163901"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199011000-00023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060163901"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-200111000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168938"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-200111000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168938"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-200111000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168938"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/00004623-199401000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068891631"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/00004623-199812000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068893233"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/00004623-200406000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068896244"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/00004623-200701000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068897628"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/jbjs.f.00163", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068900006"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/jbjs.f.00163", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068900006"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/jbjs.f.00163", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068900006"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074252988", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.1999.tb126882.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1074252988"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.1999.tb126882.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1074252988"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.1999.tb126882.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1074252988"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074364313", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075052364", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083065505", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2009-06", 
    "datePublishedReg": "2009-06-01", 
    "description": "We conducted a prospective study of 1214 consecutive primary TKAs to compare the deep prosthetic infection rate between obese and nonobese patients during the first 12 months after surgery. We also sought to determine whether patient or surgical variables such as comorbidities, age, gender, blood transfusion, use of surgical drains, and antibiotic-impregnated cement were predictors of subsequent prosthetic infection after primary TKA. The overall prosthetic infection rate was 1.5% (n = 18). The odds for a deep prosthetic infection were greater in patients with morbid obesity (odds ratio [OR], 8.96; 95% confidence interval, 1.59-50.63) and diabetes (OR, 6.87; 95% confidence interval, 2.42-19.56). Men were more likely to have a prosthetic infection develop than women (OR, 5.93; 95% confidence interval, 1.95-18.04) and the prosthetic infection rate was lower (OR, 0.24; 95% confidence interval, 0.06-0.95) in patients when a surgical drain was used. There were no prosthetic infections in patients with diabetes who were not obese. This compares with 11 prosthetic infections in patients who were obese and diabetic and four prosthetic infections in patients who were obese but not diabetic. Morbid obesity and obesity combined with diabetes are risk factors for periprosthetic infection after TKA.\nLEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11999-008-0551-6", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1007212", 
        "issn": [
          "0009-921X", 
          "1528-1132"
        ], 
        "name": "Clinical Orthopaedics and Related Research\u00ae", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "6", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "467"
      }
    ], 
    "name": "Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA", 
    "pagination": "1577-1581", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "b0fd9d5758cb36e6a7353b58e87a3571093d6f5749443ee3694904a16f03831f"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "18841430"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "0075674"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11999-008-0551-6"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1037154340"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11999-008-0551-6", 
      "https://app.dimensions.ai/details/publication/pub.1037154340"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T17:34", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8672_00000523.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007%2Fs11999-008-0551-6"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11999-008-0551-6'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11999-008-0551-6'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11999-008-0551-6'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11999-008-0551-6'


 

This table displays all metadata directly associated to this object as RDF triples.

234 TRIPLES      21 PREDICATES      76 URIs      40 LITERALS      28 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11999-008-0551-6 schema:about N0ee6f8c29bed4cb9afe49386b68a3bff
2 N100f626c847b486bb1e10ff79ddaa9e5
3 N24a3a25e628849d1bffa6008d7ff958b
4 N471d891ff78b4d67ad589843e41bd233
5 N4fda83a8ff454a58837b3188fa37e8ee
6 N564b6620839a431b968e6161b9b72c20
7 N578ab389246c44c4bc06f8363b0392ac
8 N57b5371937db4a9195214cebc7e5d5de
9 N74c768c6507e433ea7678eab9d5a7df8
10 N797f6f1e47274fe39d022607cd98fa1d
11 N8759c0a3bb8d48f2b3ba6753e1b159a7
12 N8a0641b3b0614950a6fe7be2f5eb82d1
13 N8aabf6d727c34a81ad41ac4d9de44cde
14 N9b53d9e0819a4b588e988af3c7b1ba96
15 N9e18d7ec425f420893f956a75edaabe8
16 N9eb5cb61b3034ea3b60189ba42c48cd6
17 Nbee064a5ec2b4c88b7807bdd99159060
18 Nd9631a1378714139a161897e6d261ffb
19 Nfb3722ee9ae04d568c40084d6cebcee5
20 anzsrc-for:11
21 anzsrc-for:1103
22 schema:author Nf1e1d104746140a4938fb3a1502f66c7
23 schema:citation sg:pub.10.1007/s11999-007-0016-3
24 https://app.dimensions.ai/details/publication/pub.1074252988
25 https://app.dimensions.ai/details/publication/pub.1074364313
26 https://app.dimensions.ai/details/publication/pub.1075052364
27 https://app.dimensions.ai/details/publication/pub.1083065505
28 https://doi.org/10.1007/s11999-007-0016-3
29 https://doi.org/10.1016/j.arth.2005.04.023
30 https://doi.org/10.1016/j.arth.2006.09.002
31 https://doi.org/10.1016/j.arth.2007.05.052
32 https://doi.org/10.1016/j.mcna.2007.06.002
33 https://doi.org/10.1016/s0140-6736(03)13640-9
34 https://doi.org/10.1016/s0753-3322(00)88855-1
35 https://doi.org/10.1016/s1098-3597(07)80018-4
36 https://doi.org/10.1054/arth.2001.19159
37 https://doi.org/10.1086/501620
38 https://doi.org/10.1097/00003086-199011000-00023
39 https://doi.org/10.1097/00003086-200111000-00003
40 https://doi.org/10.1097/00129334-200410000-00013
41 https://doi.org/10.1097/01.blo.0000156479.97488.a2
42 https://doi.org/10.1111/j.1445-2197.2008.04554.x
43 https://doi.org/10.1177/014860719802200277
44 https://doi.org/10.1302/0301-620x.88b3.16488
45 https://doi.org/10.2106/00004623-199401000-00005
46 https://doi.org/10.2106/00004623-199812000-00006
47 https://doi.org/10.2106/00004623-200406000-00005
48 https://doi.org/10.2106/00004623-200701000-00005
49 https://doi.org/10.2106/jbjs.f.00163
50 https://doi.org/10.5694/j.1326-5377.1999.tb126882.x
51 schema:datePublished 2009-06
52 schema:datePublishedReg 2009-06-01
53 schema:description We conducted a prospective study of 1214 consecutive primary TKAs to compare the deep prosthetic infection rate between obese and nonobese patients during the first 12 months after surgery. We also sought to determine whether patient or surgical variables such as comorbidities, age, gender, blood transfusion, use of surgical drains, and antibiotic-impregnated cement were predictors of subsequent prosthetic infection after primary TKA. The overall prosthetic infection rate was 1.5% (n = 18). The odds for a deep prosthetic infection were greater in patients with morbid obesity (odds ratio [OR], 8.96; 95% confidence interval, 1.59-50.63) and diabetes (OR, 6.87; 95% confidence interval, 2.42-19.56). Men were more likely to have a prosthetic infection develop than women (OR, 5.93; 95% confidence interval, 1.95-18.04) and the prosthetic infection rate was lower (OR, 0.24; 95% confidence interval, 0.06-0.95) in patients when a surgical drain was used. There were no prosthetic infections in patients with diabetes who were not obese. This compares with 11 prosthetic infections in patients who were obese and diabetic and four prosthetic infections in patients who were obese but not diabetic. Morbid obesity and obesity combined with diabetes are risk factors for periprosthetic infection after TKA. LEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
54 schema:genre research_article
55 schema:inLanguage en
56 schema:isAccessibleForFree true
57 schema:isPartOf N42ea3f3fe32046e4ab3643a4decdf766
58 N6c9c80823b7a416d98dfebc895d4faf0
59 sg:journal.1007212
60 schema:name Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA
61 schema:pagination 1577-1581
62 schema:productId N076c682f0ffb4b84b76702404894fb24
63 N6b99db7bdd0c4858852542bbfbb0967b
64 N96b988d781e94172b9c15e15c461c822
65 N9bee1407aba2459abfe420335ee9113e
66 Ndec115b52c9644d190bb002890346ae4
67 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037154340
68 https://doi.org/10.1007/s11999-008-0551-6
69 schema:sdDatePublished 2019-04-10T17:34
70 schema:sdLicense https://scigraph.springernature.com/explorer/license/
71 schema:sdPublisher N2992f29617964bec9376a1e8c38f1bf4
72 schema:url http://link.springer.com/10.1007%2Fs11999-008-0551-6
73 sgo:license sg:explorer/license/
74 sgo:sdDataset articles
75 rdf:type schema:ScholarlyArticle
76 N076c682f0ffb4b84b76702404894fb24 schema:name doi
77 schema:value 10.1007/s11999-008-0551-6
78 rdf:type schema:PropertyValue
79 N0ee6f8c29bed4cb9afe49386b68a3bff schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
80 schema:name Sex Factors
81 rdf:type schema:DefinedTerm
82 N100f626c847b486bb1e10ff79ddaa9e5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
83 schema:name Risk Factors
84 rdf:type schema:DefinedTerm
85 N24a3a25e628849d1bffa6008d7ff958b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
86 schema:name Odds Ratio
87 rdf:type schema:DefinedTerm
88 N2992f29617964bec9376a1e8c38f1bf4 schema:name Springer Nature - SN SciGraph project
89 rdf:type schema:Organization
90 N42ea3f3fe32046e4ab3643a4decdf766 schema:issueNumber 6
91 rdf:type schema:PublicationIssue
92 N471d891ff78b4d67ad589843e41bd233 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
93 schema:name Humans
94 rdf:type schema:DefinedTerm
95 N4fda83a8ff454a58837b3188fa37e8ee schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
96 schema:name Obesity
97 rdf:type schema:DefinedTerm
98 N564b6620839a431b968e6161b9b72c20 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
99 schema:name Age Factors
100 rdf:type schema:DefinedTerm
101 N578ab389246c44c4bc06f8363b0392ac schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Drainage
103 rdf:type schema:DefinedTerm
104 N57b5371937db4a9195214cebc7e5d5de schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Bone Cements
106 rdf:type schema:DefinedTerm
107 N6b99db7bdd0c4858852542bbfbb0967b schema:name pubmed_id
108 schema:value 18841430
109 rdf:type schema:PropertyValue
110 N6c9c80823b7a416d98dfebc895d4faf0 schema:volumeNumber 467
111 rdf:type schema:PublicationVolume
112 N74c768c6507e433ea7678eab9d5a7df8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
113 schema:name Male
114 rdf:type schema:DefinedTerm
115 N797f6f1e47274fe39d022607cd98fa1d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Blood Transfusion
117 rdf:type schema:DefinedTerm
118 N8759c0a3bb8d48f2b3ba6753e1b159a7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
119 schema:name Prospective Studies
120 rdf:type schema:DefinedTerm
121 N8a0641b3b0614950a6fe7be2f5eb82d1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
122 schema:name Confidence Intervals
123 rdf:type schema:DefinedTerm
124 N8aabf6d727c34a81ad41ac4d9de44cde schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
125 schema:name Retrospective Studies
126 rdf:type schema:DefinedTerm
127 N96b988d781e94172b9c15e15c461c822 schema:name readcube_id
128 schema:value b0fd9d5758cb36e6a7353b58e87a3571093d6f5749443ee3694904a16f03831f
129 rdf:type schema:PropertyValue
130 N9b53d9e0819a4b588e988af3c7b1ba96 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
131 schema:name Arthroplasty, Replacement, Knee
132 rdf:type schema:DefinedTerm
133 N9bee1407aba2459abfe420335ee9113e schema:name dimensions_id
134 schema:value pub.1037154340
135 rdf:type schema:PropertyValue
136 N9e18d7ec425f420893f956a75edaabe8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Prosthesis-Related Infections
138 rdf:type schema:DefinedTerm
139 N9eb5cb61b3034ea3b60189ba42c48cd6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
140 schema:name Female
141 rdf:type schema:DefinedTerm
142 Nbee064a5ec2b4c88b7807bdd99159060 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
143 schema:name Aged
144 rdf:type schema:DefinedTerm
145 Nd9631a1378714139a161897e6d261ffb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
146 schema:name Chi-Square Distribution
147 rdf:type schema:DefinedTerm
148 Ndec115b52c9644d190bb002890346ae4 schema:name nlm_unique_id
149 schema:value 0075674
150 rdf:type schema:PropertyValue
151 Nea33ef65b1c5409fa3afa817137e76db rdf:first sg:person.010622362137.43
152 rdf:rest rdf:nil
153 Nf1e1d104746140a4938fb3a1502f66c7 rdf:first sg:person.0602320707.29
154 rdf:rest Nea33ef65b1c5409fa3afa817137e76db
155 Nfb3722ee9ae04d568c40084d6cebcee5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name Diabetes Mellitus
157 rdf:type schema:DefinedTerm
158 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
159 schema:name Medical and Health Sciences
160 rdf:type schema:DefinedTerm
161 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
162 schema:name Clinical Sciences
163 rdf:type schema:DefinedTerm
164 sg:journal.1007212 schema:issn 0009-921X
165 1528-1132
166 schema:name Clinical Orthopaedics and Related Research®
167 rdf:type schema:Periodical
168 sg:person.010622362137.43 schema:affiliation https://www.grid.ac/institutes/grid.1008.9
169 schema:familyName Choong
170 schema:givenName Peter F. M.
171 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010622362137.43
172 rdf:type schema:Person
173 sg:person.0602320707.29 schema:affiliation https://www.grid.ac/institutes/grid.1008.9
174 schema:familyName Dowsey
175 schema:givenName Michelle M.
176 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0602320707.29
177 rdf:type schema:Person
178 sg:pub.10.1007/s11999-007-0016-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046073620
179 https://doi.org/10.1007/s11999-007-0016-3
180 rdf:type schema:CreativeWork
181 https://app.dimensions.ai/details/publication/pub.1074252988 schema:CreativeWork
182 https://app.dimensions.ai/details/publication/pub.1074364313 schema:CreativeWork
183 https://app.dimensions.ai/details/publication/pub.1075052364 schema:CreativeWork
184 https://app.dimensions.ai/details/publication/pub.1083065505 schema:CreativeWork
185 https://doi.org/10.1007/s11999-007-0016-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046073620
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1016/j.arth.2005.04.023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001622200
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1016/j.arth.2006.09.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007946942
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1016/j.arth.2007.05.052 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036828800
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1016/j.mcna.2007.06.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006658220
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1016/s0140-6736(03)13640-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000237247
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1016/s0753-3322(00)88855-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016998947
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1016/s1098-3597(07)80018-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001260468
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1054/arth.2001.19159 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023153132
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1086/501620 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027071356
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1097/00003086-199011000-00023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060163901
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1097/00003086-200111000-00003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060168938
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1097/00129334-200410000-00013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003807433
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1097/01.blo.0000156479.97488.a2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047406746
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1111/j.1445-2197.2008.04554.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1034178896
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1177/014860719802200277 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010371941
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1302/0301-620x.88b3.16488 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000570360
218 rdf:type schema:CreativeWork
219 https://doi.org/10.2106/00004623-199401000-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068891631
220 rdf:type schema:CreativeWork
221 https://doi.org/10.2106/00004623-199812000-00006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068893233
222 rdf:type schema:CreativeWork
223 https://doi.org/10.2106/00004623-200406000-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068896244
224 rdf:type schema:CreativeWork
225 https://doi.org/10.2106/00004623-200701000-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068897628
226 rdf:type schema:CreativeWork
227 https://doi.org/10.2106/jbjs.f.00163 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068900006
228 rdf:type schema:CreativeWork
229 https://doi.org/10.5694/j.1326-5377.1999.tb126882.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1074252988
230 rdf:type schema:CreativeWork
231 https://www.grid.ac/institutes/grid.1008.9 schema:alternateName University of Melbourne
232 schema:name Department of Orthopaedics, St Vincent’s Hospital Melbourne, Fitzroy, PO Box 2900, 3065, Melbourne, VIC, Australia
233 Department of Surgery, Melbourne University, Melbourne, Australia
234 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...