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Risk factors for surgical site infections after orthopaedic surgery in the ambulatory surgical center setting

Journal of the American Academy of Orthopedic Surgeons Oct 14, 2019

Brophy RH, Bansal A, Rogalski BL, et al. - Researchers investigated the incidence of surgical site infections (SSIs) after orthopedic surgery at the ambulatory surgery center (ASC). In addition, they sought the patient and surgical risk factors that are associated with SSI. Patients who underwent orthopedic surgery had an SSI incidence of 0.32% over a 6.5-year period indicating a low risk of infection after orthopedic surgery in ASCs. SSI was noted in independent correlation with five factors: anatomic area (odds ratio [OR] = 18.60, 11.24, 6.75, and 4.01 for the hip, foot/ankle, knee/leg, and hand/elbow vs shoulder, respectively), anesthesia type (OR = 4.49 combined general and regional anesthesia vs general anesthesia), age ≥ 70 (OR = 2.85), diabetes mellitus (OR = 2.27), and tourniquet time (OR = 1.01 per minute tourniquet time).
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