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Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction.

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  • معلومة اضافية
    • Subject Terms:
    • Author-Supplied Keywords:
      Anterior cruciate ligament reconstruction
      Atopic dermatitis
      Surgical site infection
    • NAICS/Industry Codes:
      624190 Other Individual and Family Services
    • Abstract:
      Purpose: Although various risk factors for surgical site infection after anterior cruciate ligament reconstruction (ACLR) have been reported, the number of studies with large sample sizes on this topic is limited. The aim of the present study was to clarify the risk factors for early surgical site infection after ACLR in a large cohort using a national database in Japan.Methods: The data of patients who underwent ACLR from 2010 to 2015 were obtained from the Diagnosis Procedure Combination database, which covers approximately half of all hospital admissions in Japan. The outcome measures were the prevalences of surgical site infection and deep surgical site infection after ACLR during hospitalization. The association between the occurrence of surgical site infection and patients' demographic data, including sex, age, body mass index (BMI), smoking status, preoperative steroid use, and comorbidities such as diabetes, hepatic dysfunction, renal dysfunction, and atopic dermatitis, were examined using a multivariable logistic regression model.Results: Among 30,536 patients who underwent ACLR, 288 patients with surgical site infection (0.94%) and 86 with deep surgical site infection (0.28%) were identified. The univariate analysis showed that higher prevalences of surgical site infection and deep surgical site infection were associated with male sex, a higher BMI, atopic dermatitis, and preoperative steroid use. Patients with diabetes or hepatic dysfunction had a significantly higher prevalence of surgical site infection. The multivariable analysis showed that surgical site infection was significantly associated with male sex vs. female sex; odds ratio (OR), 2.90; 95% confidence interval (CI), 2.17-3.89, age of ≤ 19 vs. 20-29 years; OR, 1.56; 95% CI 1.13-2.15, BMI of ≥ 30.0 vs. 18.5-22.9 kg/m2; OR, 1.72; 95% CI 1.16-2.54, diabetes (OR, 2.70; 95% CI 1.28-5.71), atopic dermatitis (OR, 7.19; 95% CI 2.94-17.57), and preoperative steroid use (OR, 6.18; 95% CI 2.32-16.52).Conclusion: Atopic dermatitis, preoperative steroid use, young age (≤ 19 years), obesity (BMI of ≥ 30.0 kg/m2), male sex, and diabetes were independent demographic risk factors for surgical site infection after ACLR. The present study will be useful when surgeons evaluate the risk of SSI after ACLR in terms of demographic aspects.Level Of Evidence: III. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Knee Surgery, Sports Traumatology, Arthroscopy is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan
      2Data Science Center, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke-shi, Tochigi, Japan
      3Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan
      4Department of Health Informatics and Policy, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-0034, Tokyo, Japan
    • Full Text Word Count:
      4931
    • ISSN:
      0942-2056
    • Accession Number:
      10.1007/s00167-018-4958-7
    • Accession Number:
      133270092
  • Citations
    • ABNT:
      KAWATA, M. et al. Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, [s. l.], v. 26, n. 12, p. 3699–3705, 2018. DOI 10.1007/s00167-018-4958-7. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=133270092&custid=s8280428. Acesso em: 26 maio. 2020.
    • AMA:
      Kawata M, Sasabuchi Y, Taketomi S, et al. Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(12):3699-3705. doi:10.1007/s00167-018-4958-7.
    • APA:
      Kawata, M., Sasabuchi, Y., Taketomi, S., Inui, H., Matsui, H., Fushimi, K., Yasunaga, H., & Tanaka, S. (2018). Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 26(12), 3699–3705. https://doi.org/10.1007/s00167-018-4958-7
    • Chicago/Turabian: Author-Date:
      Kawata, Manabu, Yusuke Sasabuchi, Shuji Taketomi, Hiroshi Inui, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, and Sakae Tanaka. 2018. “Atopic Dermatitis Is a Novel Demographic Risk Factor for Surgical Site Infection after Anterior Cruciate Ligament Reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy 26 (12): 3699–3705. doi:10.1007/s00167-018-4958-7.
    • Harvard:
      Kawata, M. et al. (2018) ‘Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction’, Knee Surgery, Sports Traumatology, Arthroscopy, 26(12), pp. 3699–3705. doi: 10.1007/s00167-018-4958-7.
    • Harvard: Australian:
      Kawata, M, Sasabuchi, Y, Taketomi, S, Inui, H, Matsui, H, Fushimi, K, Yasunaga, H & Tanaka, S 2018, ‘Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction’, Knee Surgery, Sports Traumatology, Arthroscopy, vol. 26, no. 12, pp. 3699–3705, viewed 26 May 2020, .
    • MLA:
      Kawata, Manabu, et al. “Atopic Dermatitis Is a Novel Demographic Risk Factor for Surgical Site Infection after Anterior Cruciate Ligament Reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 26, no. 12, Dec. 2018, pp. 3699–3705. EBSCOhost, doi:10.1007/s00167-018-4958-7.
    • Chicago/Turabian: Humanities:
      Kawata, Manabu, Yusuke Sasabuchi, Shuji Taketomi, Hiroshi Inui, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, and Sakae Tanaka. “Atopic Dermatitis Is a Novel Demographic Risk Factor for Surgical Site Infection after Anterior Cruciate Ligament Reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy 26, no. 12 (December 2018): 3699–3705. doi:10.1007/s00167-018-4958-7.
    • Vancouver/ICMJE:
      Kawata M, Sasabuchi Y, Taketomi S, Inui H, Matsui H, Fushimi K, et al. Atopic dermatitis is a novel demographic risk factor for surgical site infection after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy [Internet]. 2018 Dec [cited 2020 May 26];26(12):3699–705. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=133270092&custid=s8280428