WEKO3
アイテム
Prognostic nutritional index as a risk factor for aseptic wound complications after total knee arthroplasty
http://hdl.handle.net/10271/00004178
http://hdl.handle.net/10271/00004178e15e1074-34ef-405f-a013-5c634c796fe4
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
J Orthop Sci-26-827.pdf (574.5 kB)
|
.png)
|
| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2022-09-12 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Prognostic nutritional index as a risk factor for aseptic wound complications after total knee arthroplasty | |||||||||||
| 言語 | en | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| 著者 |
Hanada, Mitsuru
× Hanada, Mitsuru
× Hotta, Kensuke
× Matsuyama, Yukihiro
|
|||||||||||
| 書誌情報 |
Journal of Orthopaedic Science 巻 26, 号 5, p. 827-830, 発行日 2021-09 |
|||||||||||
| 出版者 | ||||||||||||
| 出版者 | Elsevier | |||||||||||
| 権利 | ||||||||||||
| 権利情報 | Copyright?2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license?http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||||||||
| 権利 | ||||||||||||
| 権利情報 | "This is the accepted manuscript version. The formal published version is available at ""https://doi.org/10.1016/j.jos.2020.07.019""." | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Background: Patients with malnutrition have a high risk of postoperative complications in total knee arthroplasty (TKA). Previously, serum albumin and total lymphocyte count were considered preoperative nutritional assessment measures. Prognostic nutritional index (PNI) is calculated by a combination of serum albumin and total lymphocyte count. This study aimed to identify the risk factors for postoperative complications after TKA, including preoperative nutritional assessment, and evaluated preoperative PNI as a predictor of postoperative complications. Methods: One-hundred and sixty patients (234 knees) who underwent primary TKA were enrolled consecutively from 2010 to 2018. The serum albumin (g/dL) and total lymphocyte count (/mm3) were examined within 3 months before TKA; thereafter, the PNI was calculated. Postoperative aseptic wound problems, such as skin erosion and dehiscence within 2 weeks and periprosthetic joint infection after TKA were examined. Results: Periprosthetic joint infections occurred in knees (6.0%). Postoperative aseptic wound problems within two weeks were significant risk factors of periprosthetic joint infection (odds ratio; 5.10, 95% confidence interval [CI]; 1.438?18.093, p=0.012). No significant differences were noted in the patient demographics, such as age, sex, body mass index (BMI), and comorbidities between the positive and negative groups for periprosthetic joint infection, except for the rate of aseptic operative wound problems. Furthermore, postoperative aseptic wound problems were influenced by high BMI (odds ratio; 1.270, 95% CI; 1.111?1.453, p=0.000) and low PNI (odds ratio; 0.858, 95% CI; 0.771?0.955, p=0.015). Conclusions: Preoperative nutritional status, indicated by PNI and BMI, was associated with postoperative wound problems within two weeks. Periprosthetic joint infection after TKA was associated with early postoperative aseptic wound problems. |
|||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 0949-2658 | |||||||||||
| EISSN | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 1436-2023 | |||||||||||
| NII書誌ID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA11052566 | |||||||||||
| PubMed番号 | ||||||||||||
| 関連タイプ | isVersionOf | |||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 32883543 | |||||||||||
| 出版社DOI | ||||||||||||
| 関連タイプ | isVersionOf | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | 10.1016/j.jos.2020.07.019 | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | AM | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||
