Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty

Background: Surgical site infection (SSI) is considered one of the most serious complications in total joint arthroplasty (TJA). This study seeks to analyze the predictive value of preoperative and postoperative nutritional biomarkers for SSI in elective TJA. Methodology: Nutritional markers were ga...

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Autores principales:	Randa Alfargieny, Zuhir Bodalal, Riyad Bendardaf, Mustafa El-Fadli, Salem Langhi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2015
Materias:	libya nutrition serum albumin surgical site infection total joint arthroplasty total lymphocyte count Medicine R
Acceso en línea:	https://doaj.org/article/069bd67fabdc4d249bff316d025e0f77
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spelling	oai:doaj.org-article:069bd67fabdc4d249bff316d025e0f772021-12-02T16:24:57ZNutritional status as a predictive marker for surgical site infection in total joint arthroplasty2231-07702249-446410.4103/2231-0770.165122https://doaj.org/article/069bd67fabdc4d249bff316d025e0f772015-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.165122https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background: Surgical site infection (SSI) is considered one of the most serious complications in total joint arthroplasty (TJA). This study seeks to analyze the predictive value of preoperative and postoperative nutritional biomarkers for SSI in elective TJA. Methodology: Nutritional markers were gathered retrospectively utilizing patient's records from the orthopedics department at Benghazi Medical Center (BMC). The sample spanned cases admitted during the 20-month period between January 2012 and August 2013 and had undergone either elective total hip replacement or total knee replacement. The collected lab results included a complete blood count, total lymphocyte count (TLC), and serum albumin (S. alb.) levels. The patients were then divided into two groups based on the occurrence of an SSI. Results: A total of 135 total knee (81.5%, n = 110/135) and total hip (18.5%, n = 25/135) replacements were performed at BMC during the study period. Among these cases, 57% (n = 78/135) had patient records suitable for statistical analysis. The average preoperative TLC was 2.422 ×103 cells/mm3 (range = 0.8–4.7 ×103 cells/mm3) whereas that number dropped after the surgery to 1.694 ×103 cells/mm3 (range = 0.6–3.8 ×103 cells/mm3). S. alb. levels showed a mean of 3.973 g/dl (range = 2.9–4.7 g/dl) preoperatively and 3.145 g/dl (range = 1.0–4.1 g/dl) postoperatively. The majority of TJA patients did not suffer any complication (67.4%, n = 91/135) while eight cases (5.9%) suffered from a superficial SSI. Conclusion: Preoperative S. alb. was identified as the only significant predictor for SSI (P = 0.011). Being a preventable cause of postoperative morbidity, it is recommended that the nutritional status (especially preoperative S. alb.) of TJA patients be used as a screening agent and appropriate measures be taken to avoid SSI.Randa AlfargienyZuhir BodalalRiyad BendardafMustafa El-FadliSalem LanghiThieme Medical and Scientific Publishers Pvt. Ltd.articlelibyanutritionserum albuminsurgical site infectiontotal joint arthroplastytotal lymphocyte countMedicineRENAvicenna Journal of Medicine, Vol 05, Iss 04, Pp 117-122 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	libya nutrition serum albumin surgical site infection total joint arthroplasty total lymphocyte count Medicine R
spellingShingle	libya nutrition serum albumin surgical site infection total joint arthroplasty total lymphocyte count Medicine R Randa Alfargieny Zuhir Bodalal Riyad Bendardaf Mustafa El-Fadli Salem Langhi Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
description	Background: Surgical site infection (SSI) is considered one of the most serious complications in total joint arthroplasty (TJA). This study seeks to analyze the predictive value of preoperative and postoperative nutritional biomarkers for SSI in elective TJA. Methodology: Nutritional markers were gathered retrospectively utilizing patient's records from the orthopedics department at Benghazi Medical Center (BMC). The sample spanned cases admitted during the 20-month period between January 2012 and August 2013 and had undergone either elective total hip replacement or total knee replacement. The collected lab results included a complete blood count, total lymphocyte count (TLC), and serum albumin (S. alb.) levels. The patients were then divided into two groups based on the occurrence of an SSI. Results: A total of 135 total knee (81.5%, n = 110/135) and total hip (18.5%, n = 25/135) replacements were performed at BMC during the study period. Among these cases, 57% (n = 78/135) had patient records suitable for statistical analysis. The average preoperative TLC was 2.422 ×103 cells/mm3 (range = 0.8–4.7 ×103 cells/mm3) whereas that number dropped after the surgery to 1.694 ×103 cells/mm3 (range = 0.6–3.8 ×103 cells/mm3). S. alb. levels showed a mean of 3.973 g/dl (range = 2.9–4.7 g/dl) preoperatively and 3.145 g/dl (range = 1.0–4.1 g/dl) postoperatively. The majority of TJA patients did not suffer any complication (67.4%, n = 91/135) while eight cases (5.9%) suffered from a superficial SSI. Conclusion: Preoperative S. alb. was identified as the only significant predictor for SSI (P = 0.011). Being a preventable cause of postoperative morbidity, it is recommended that the nutritional status (especially preoperative S. alb.) of TJA patients be used as a screening agent and appropriate measures be taken to avoid SSI.
format	article
author	Randa Alfargieny Zuhir Bodalal Riyad Bendardaf Mustafa El-Fadli Salem Langhi
author_facet	Randa Alfargieny Zuhir Bodalal Riyad Bendardaf Mustafa El-Fadli Salem Langhi
author_sort	Randa Alfargieny
title	Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
title_short	Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
title_full	Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
title_fullStr	Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
title_full_unstemmed	Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
title_sort	nutritional status as a predictive marker for surgical site infection in total joint arthroplasty
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2015
url	https://doaj.org/article/069bd67fabdc4d249bff316d025e0f77
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Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty

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