Hospital-Acquired Conditions

Crespi, Zachary; Ismail, Aya; Awad, Mohamed E.; Hasan, Ahmad I; Irfan, Furqan B.; Jaffar, M. Arfan; El-Othmani, Mouhanad M.; Saleh, Khaled J.

doi:10.2106/jbjs.rvw.20.00240

Cited by 2 publications

(3 citation statements)

References 49 publications

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“…Patients undergoing any of the 4 most common inpatient orthopaedic surgeries (TKA, THA, spinal fusion, or laminectomy) have been noted to experience HACs at a rate of 1.3% to 5.4% [92][93][94][95][96][97] . The most common HACs among this population are SSI, VTE, CA-UTI, and an inpatient fall or trauma, as reported in our previous article 2 .…”

Section: Discussionsupporting

confidence: 62%

“…However, there is no evidence of a systematic bias as a result of the language restrictions in medical meta-analyses 98,99 . We believe that by using these guidelines in combination with identifying the risk factors for HACs reported in our previous article 2 , the orthopaedic community needs to establish a clinical dashboard with the purpose of further preventing HACs.…”

Section: Discussionmentioning

confidence: 99%

“…In this article, we review HACs as a result of common musculoskeletal procedures: total hip arthroplasty (THA), which has an HAC prevalence of 2.8%; total knee arthroplasty (TKA), 3.4%; and spinal fusion and laminectomy, 3.3% collectively 1 . In a previous study 2 , we explored the most common HACs that occur following these procedures, as well as the risk factors associated with their occurrence.…”

mentioning

confidence: 99%

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Current Guidelines and Practice Recommendations to Prevent Hospital-Acquired Conditions After Major Orthopaedic Surgeries

et al. 2022

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In 2016, a total of 48,771 hospital-acquired conditions (HACs) were reported in U.S. hospitals. These incidents resulted in an excess cost of >$2 billion, which translates to roughly $40,000 per patient with an HAC.Current guidelines for the prevention of venous thromboembolism and surgical site infection consist primarily of antithrombotic prophylaxis and antiseptic technique, respectively.The prevention of catheter-associated urinary tract infection (CA-UTI) and in-hospital falls and trauma is done best via education. In the case of CA-UTI, this consists of training staff about the indications for catheters and their timely removal when they are no longer necessary, and in the case of in-hospital falls and trauma, advising the patient and family about the patient’s fall risk and communicating the fall risk to the health-care team.Blood incompatibility is best prevented by implementation of a pretransfusion testing protocol. Pressure ulcers can be prevented via patient positioning, especially during surgery, and via postoperative skin checks.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Current Guidelines and Practice Recommendations to Prevent Hospital-Acquired Conditions After Major Orthopaedic Surgeries

et al. 2022

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Prevalence of Urinary Tract Infection and Health Outcomes in Older Adults Undergoing Hip Surgery: A Prospective Study

Sureerat Mongkolpun,

Inthira Roopsawang,

Suparb Aree-Ue

2022

PRIJNR

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Urinary tract infections are complications found mostly in older adults undergoing hip surgery. However, little is known about the impact of urinary tract infections on health at after post-hip fracture surgery, particularly in Thailand. This prospective study investigated the prevalence of urinary tract infections and their impact on length of stay, functional ability, re-admission, surgical site infections, and in-hospital mortality. The participants were 120 older adults undergoing hip surgery at four tertiary care hospitals in Bangkok, Thailand. Instruments for collection the data were the Demographic Data Questionnaire, Health Outcome Data Record Form—length of hospital stays, surgical site infections, re-admission, and in-hospital mortality, and the Hip Disability and Osteoarthritis Outcome Score. Data were analyzed using descriptive statistics and Firth’s logistic regression. Results demonstrated that the prevalence of urinary tract infections was 28.32%. Significantly, older adults who developed urinary tract infections had a 2.88-fold increased the risk of impaired functional ability four weeks after surgery and a 3.21-fold increased the risk of re-admission to the hospital compared to those without urinary tract infections. Findings suggest that nurses should continually evaluate urinary tract infections and related factors from admission to post-discharge, as urinary tract infections profoundly affect health outcomes. Strict compliance with guidelines or strengthening post-acute care services to prevent urinary tract infections and its consequences is recommended to promote and restore health, especially functional ability in older adults undergoing hip surgery.

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Hospital-Acquired Conditions

Cited by 2 publications

References 49 publications

Current Guidelines and Practice Recommendations to Prevent Hospital-Acquired Conditions After Major Orthopaedic Surgeries

Current Guidelines and Practice Recommendations to Prevent Hospital-Acquired Conditions After Major Orthopaedic Surgeries

Prevalence of Urinary Tract Infection and Health Outcomes in Older Adults Undergoing Hip Surgery: A Prospective Study

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