O'Toole Patrick, Maltenfort Mitchell G, Chen Antonia F, Parvizi Javad
Rothman Institute, Philadelphia, Pennsylvania.
J Arthroplasty. 2016 Jan;31(1):7-10. doi: 10.1016/j.arth.2015.07.034. Epub 2015 Jul 21.
Total joint arthroplasties (TJAs) are projected to increase, along with increased complications like periprosthetic joint infections (PJIs). However, no study has projected TJAs secondary to PJI and how these relate to comorbidities in these patients. The NIS database was assessed from 1993 to 2000 to evaluate primary and revision TJAs, and projections were made until 2028. ICD-9 codes were used to identify patients with obesity, diabetes, and PJI. Rates of diabetes and adult obesity are predicted to increase for both genders, and patients receiving revision surgery for PJI are predicted to increase over time; males had higher rates than females. With an exponential increase of PJI secondary to diabetes and obesity, it is imperative that orthopedists intervene in these patients prior to TJA to decrease PJI's burden.
全关节置换术（TJAs）预计会增加，同时诸如假体周围关节感染（PJIs）等并发症也会增多。然而，尚无研究预测继发于PJI的TJAs情况以及这些情况与这些患者合并症之间的关系。对1993年至2000年的国家住院患者样本（NIS）数据库进行评估，以评估初次和翻修TJAs，并预测至2028年的情况。使用国际疾病分类第九版（ICD-9）编码来识别肥胖、糖尿病和PJI患者。预计男性和女性的糖尿病和成人肥胖率都会上升，因PJI接受翻修手术的患者预计会随时间增加；男性的发生率高于女性。鉴于继发于糖尿病和肥胖的PJI呈指数增长，骨科医生必须在进行TJA之前对这些患者进行干预，以减轻PJI的负担。
