{"created":"2023-06-20T15:49:27.871985+00:00","id":4056,"links":{},"metadata":{"_buckets":{"deposit":"c04b9114-8acf-4605-b15e-782971bfeece"},"_deposit":{"created_by":4,"id":"4056","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4056"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00004056","sets":["1:11"]},"author_link":["12630","12631","12632"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"830","bibliographicPageStart":"827","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"Journal of Orthopaedic Science"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background:\nPatients 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.\nMethods: \nOne-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.\nResults:\nPeriprosthetic 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).\nConclusions:\nPreoperative 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.","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier"}]},"item_3_relation_26":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"32883543","subitem_relation_type_select":"PMID"}}]},"item_3_relation_28":{"attribute_name":"出版社DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1016/j.jos.2020.07.019","subitem_relation_type_select":"DOI"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"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/"},{"subitem_rights":"\"This is the accepted manuscript version. The formal published version is available at \"\"https://doi.org/10.1016/j.jos.2020.07.019\"\".\""}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0949-2658","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"1436-2023","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_23":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11052566","subitem_source_identifier_type":"NCID"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Hanada, Mitsuru"}],"nameIdentifiers":[{"nameIdentifier":"12630","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hotta, Kensuke"}],"nameIdentifiers":[{"nameIdentifier":"12631","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsuyama, Yukihiro"}],"nameIdentifiers":[{"nameIdentifier":"12632","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-09-12"}],"displaytype":"detail","filename":"J Orthop Sci-26-827.pdf","filesize":[{"value":"574.5 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"J Orthop Sci-26-827.pdf","url":"https://hama-med.repo.nii.ac.jp/record/4056/files/J Orthop Sci-26-827.pdf"},"version_id":"f9900ded-4dee-4934-88a6-84fbe924584e"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Prognostic nutritional index as a risk factor for aseptic wound complications after total knee arthroplasty","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Prognostic nutritional index as a risk factor for aseptic wound complications after total knee arthroplasty","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-09-12"},"publish_date":"2022-09-12","publish_status":"0","recid":"4056","relation_version_is_last":true,"title":["Prognostic nutritional index as a risk factor for aseptic wound complications after total knee arthroplasty"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-02T07:17:19.435929+00:00"}