Research Article Project
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Research Article Project
This paper is aimed at providing a rapid appraisal of fifteen articles, articles . The articles are mainly on the surgical site infection (SSI) that follows a knee and hip arthroplasty. The SSI has increasingly become a common complication of the orthopedic surgery that can result to mortality, morbidity, and hospital costs.
Merollini, K. MD; Crawford, R.W & Graves, N. (2013). Surgical treatment approaches and reimbursement costs of surgical site infections post hip arthroplasty in Australia: a retrospective analysis. BMC Health Services Research, 13:91.
The article indicates that surgical site infection following the basic hip arthroplasty is caused by the wound contamination when carrying out surgery and the treatment that should be administered is unclear within Australia. The problem statement is therefore clear since it seeks to identify the various treatment approaches and the costs in Australia and Queensland. The article has provided adequate statistical information between January of the year 2006 and December 2009 in Queensland hospitals. Further, the diagnosis and subsequent treatment of the infection was determined using ICD-10-AM and ACHI codes and these were able to demonstrate the gravity of the inadequate treatment approaches that could be administered. The study included 114 patients, which was sufficient sample that could be able to help in the study. Indeed, the article has satisfied the scientific merit of research paper and the topic under investigation is relevant.
Miletic, K. G., Taylor, T. N., Martin, E. T., Vaidya, R., & Kaye, K. S. (2014). Readmissions after Diagnosis of Surgical Site Infection Following Knee and Hip Arthroplasty. Infection Control & Hospital Epidemiology, 35(2), 152-157. doi: 10.1086/674854
The article has adequately described the problem statement. Having noted that SSI is a common complication the article investigated the readmission costs and rates for the total knee and hip arthroplasty. The article has reported a retrospective cohort study using the data that was obtained from Thomson Reuters MarketScan Commercial Claims and Encounters and the Medicare Supplemental data bases between the year 2007 and 2009. The article incorporated statistics in evaluating the differences existing between the groups using student t- tests and x2. Indeed, the article has applied adequate data collection and analysis techniques and the problem statement falls within the topic of interest.
Asaid, R. R., Williams, I. I., Hyde, D. D., &Tiang, T. T. (2013). Infection rates following hip and knee joint arthroplasty: large referral centre versus a small elective-only hospital. European Journal OfOrthopaedic Surgery & Traumatology, 23(2), 165-168. doi:10.1007/s00590-012-0937-8.
The study indicates that there are infections that occur after hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing the infections occurred after hip arthroplasty.
Cabral, R. (2012). Infection in periprosthetic hip fractures. Hip International, S79-S82. doi:10.5301/HIP.2012.9575
The problem statement of this article is relevant since it is aimed at addressing the prevalence of complications caused by hip arthoplasties where the bone has the ability of leading fracture around the femoral and acetabular prosthesis. This often involves a difficult surgical solution. The study was carried out between October 1990 to the December 2010 where 112 clinically cases with the periprosthetic hip features were clinically treated. Nonetheless, the study is not clear on the statistical information that was incorporated in the analysis of the data presented. The study has used percentages to report the rate of occurrence of the particular problem in the general population. Finally, the article has supported the problem statement that is indicated.
Baker, J. F., Vioreanu, M. H., & Harty, J. A. (2012). Clostridium perfringens infection complicating periprosthetic fracture fixation about the hip: successful treatment with early aggressive debridement. Hip International, 22(1), 122-125. doi:10.5301/HIP.2012.9046.
The article acknowledges that an infection because of joint arthroplasty is a serious complication in the orthopedic surgery in the context of mobility and subsequent morbidity in the eradication of the infectious organism. The article contains a case report of 87 year old that went through primary left total hip arthroplasty. There is no adequate statistical information provided. Nonetheless, the article supports the proposed change where is shows the kinds of treatments that were accorded to the patient.
Schrama, J. C., Lutro, O. O., Langvatn, H. H., Hallan, G. G., Espehaug, B. B., Sjursen, H. H., & Fevang, B. T. (2012). Bacterial Findings in Infected Hip Joint Replacements in Patients with Rheumatoid Arthritis and Osteoarthritis: A Study of 318 Revisions for Infection Reported to the Norwegian Arthroplasty Register. ISRN Orthopedics, 1-6. doi:10.5402/2012/437675
The study recognizes that prosthetic joint infection is prevalent and not very frequent complication among patients with joint replacement surgery. The article problem was well founded since the study was intended to find out the infections involved during hip joint replacement. The article incorporated statistical information from the Norwegian Arthroplasty Registry and several other statistical techniques such as chi-square and t-test. These techniques ensured validity and reliability of the results. The article reported that there are no statistical significant differences in the various bacterial findings on the patients. However, the article supported the intended investigation on the hip joint infection.
Llewelyn, C. A., Taylor, R. S., Todd, A. M., Stevens, W., Murphy, M. F., & Williamson, L. M. (2004). The effect of universal leukoreduction on postoperative infections and length of hospital stay in elective orthopedic and cardiac surgery. Transfusion, 44(4), 489-500. doi:10.1111/j.1537-2995.2004.03325.x
The study indicates that there is prevalence in hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing hip arthroplasty.
Randau, T. M., Friedrich, M. J., Wimmer, M. D., Reichert, B., Kuberra, D., Stoffel-Wagner, B., & … Gravius, S. (2014). Interleukin-6 in Serum and in Synovial Fluid Enhances the Differentiation between Periprosthetic Joint Infection and Aseptic Loosening. Plos ONE, 9(2), 1-6. doi:10.1371/journal.pone.0089045.
The article recognizes the problem statement by stating that periprosthetic joint infections that occurs after joint replacement is severe and has remained a challenge to the orthopedic surgery. The article reports on statistical information from 120 patients and several other statistical techniques in data analysis that included ANOVA with Dunn’s post hoc.
Calderwood, M., Kleinman, K., Bratzler, D., Ma, A., Bruce, C., Kaganov, R., & … Huang, S. (2013). Use of Medicare claims to identify US hospitals with a high rate of surgical site infection after hip arthroplasty. Infection Control & Hospital Epidemiology, 34(1), 31-39. doi:10.1086/668785.
The study indicates that there are infections that occur after hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing the infections occurred after hip arthroplasty.
Haenle, M., Podbielski, A., Mittelmeier, W., Bader, R., Gradinger, R., &Gollwitzer, H. (2010). Infections after primary and revision total hip replacement caused by enterobacteria producing extended spectrum β-lactamases (ESBL): a case series. Hip International, 20(2), 248-254.
The article indicates that implant infections is a serious infections that follows total hip replacement. The article problem was well founded since the study was intended to find out the infections involved during hip joint replacement. The article incorporated statistical information from the three case studies but no adequate statistical techniques on data analysis. However, the article supported the intended investigation on the hip joint infection. The study was relevant to the problem statement and aim of the article.
Witsø, E. (2012). The role of infection-associated risk factors in prosthetic surgery. Hip International: The Journal of Clinical And Experimental Research On Hip Pathology And Therapy, 22 Suppl 8S5-S8. doi:10.5301/HIP.2012.9564.
The article recognizes the infections associated risk factors in the prosthetic surgery and therefore aims at reducing the same. The problem statement is therefore well brought out. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing the infections occurred after hip arthroplasty.
Johnson, A. J., Zywiel, M. G., Jones, L. C., Delanois, R. E., Stroh, D., & Mont, M. A. (2013). Reduced re-infection rates with postoperative oral antibiotics after two-stage revision hip arthroplasty. BMC Musculoskeletal Disorders, 14(1), 1-7. doi:10.1186/1471-2474-14-123.
The article recognizes the prevalence of reinfections that follows a two stage reimplantation and therefore aims at reducing the same. The problem statement of this article has not come out pretty clear in the context of the topic in question. The statistical information included a review of the data bases of the patients who got treated at a center. Further, the article incorporated mean and several other statistical techniques in data analysis. Indeed, the article supported the problem statement that aims at reducing the reinfections.
Dale, H., Skråmm, I., Løwer, H., Eriksen, H., Espehaug, B., Furnes, O., & … Engesæter, L. (2011). Infection after primary hip arthroplasty. ActaOrthopaedica, 82(6), 646-654. doi:10.3109/17453674.2011.636671.
The study indicates that there are infections that occur after hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. The statistical information was received from prospective data from the year 2005-2009. The study involved 3 national health registries in Norway. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing the infections occurred after hip arthroplasty.
Causey, A. (2010). Learning zone: assessment. Total hip replacement. Nursing Standard, 24(51), 59.
The study indicates that there is prevalence in hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing hip arthroplasty.
Romanò, C. L., Romanò, D., Albisetti, A., & Meani, E. (2012). Preformed antibiotic-loaded cement spacers for two-stage revision of infected total hip arthroplasty. Long-term results. Hip International, S46-S53. doi:10.5301/HIP.2012.9570.
The study indicates that there are infections that occur after hip arthroplasty and therefore aims to assess the incidence and the subsequent risk factors. There was statistical information incorporated. Nevertheless, the study did not give adequate information on the statistical methods used in the data analysis. Despite all this, the study was within context since it aimed at reducing the infections occurred after hip arthroplasty.
References
Asaid, R. R., Williams, I. I., Hyde, D. D., &Tiang, T. T. (2013). Infection rates following hip and knee joint arthroplasty: large referral centre versus a small elective-only hospital. European Journal OfOrthopaedic Surgery & Traumatology, 23(2), 165-168. doi:10.1007/s00590-012-0937-8
Baker, J. F., Vioreanu, M. H., &Harty, J. A. (2012). Clostridium perfringens infection complicating periprosthetic fracture fixation about the hip: successful treatment with early aggressive debridement. Hip International, 22(1), 122-125. doi:10.5301/HIP.2012.9046
Calderwood, M., Kleinman, K., Bratzler, D., Ma, A., Bruce, C., Kaganov, R., & … Huang, S. (2013). Use of Medicare claims to identify US hospitals with a high rate of surgical site infection after hip arthroplasty. Infection Control & Hospital Epidemiology, 34(1), 31-39. doi:10.1086/668785
Causey, A. (2010). Learning zone: assessment. Total hip replacement. Nursing Standard, 24(51), 59.
Cabral, R. (2012). Infection in periprosthetic hip fractures. Hip International, S79-S82. doi:10.5301/HIP.2012.9575
Dale, H., Skråmm, I., Løwer, H., Eriksen, H., Espehaug, B., Furnes, O., & … Engesæter, L. (2011). Infection after primary hip arthroplasty. ActaOrthopaedica, 82(6), 646-654. doi:10.3109/17453674.2011.636671
Haenle, M., Podbielski, A., Mittelmeier, W., Bader, R., Gradinger, R., &Gollwitzer, H. (2010). Infections after primary and revision total hip replacement caused by enterobacteria producing extended spectrum β-lactamases (ESBL): a case series. Hip International, 20(2), 248-254.
Johnson, A. J., Zywiel, M. G., Jones, L. C., Delanois, R. E., Stroh, D., & Mont, M. A. (2013). Reduced re-infection rates with postoperative oral antibiotics after two-stage revision hip arthroplasty. BMC Musculoskeletal Disorders, 14(1), 1-7. doi:10.1186/1471-2474-14-123.
Llewelyn, C. A., Taylor, R. S., Todd, A. M., Stevens, W., Murphy, M. F., & Williamson, L. M. (2004). The effect of universal leukoreduction on postoperative infections and length of hospital stay in elective orthopedic and cardiac surgery. Transfusion, 44(4), 489-500. doi:10.1111/j.1537-2995.2004.03325.x
Miletic, K. G., Taylor, T. N., Martin, E. T., Vaidya, R., & Kaye, K. S. (2014). Readmissions after Diagnosis of Surgical Site Infection Following Knee and Hip Arthroplasty. Infection Control & Hospital Epidemiology, 35(2), 152-157. doi:10.1086/674854
Merollini, K. D., Crawford, R. W., & Graves, N. (2013). Surgical treatment approaches and reimbursement costs of surgical site infections post hip arthroplasty in Australia: a retrospective analysis. BMC Health Services Research, 13(1), 1-7. doi:10.1186/1472-6963-13-91
Randau, T. M., Friedrich, M. J., Wimmer, M. D., Reichert, B., Kuberra, D., Stoffel-Wagner, B., & … Gravius, S. (2014). Interleukin-6 in Serum and in Synovial Fluid Enhances the Differentiation between Periprosthetic Joint Infection and Aseptic Loosening. Plos ONE, 9(2), 1-6. doi:10.1371/journal.pone.0089045
Romanò, C. L., Romanò, D., Albisetti, A., &Meani, E. (2012). Preformed antibiotic-loaded cement spacers for two-stage revision of infected total hip arthroplasty. Long-term results. Hip International, S46-S53. doi:10.5301/HIP.2012.9570.
Schrama, J. C., Lutro, O. O., Langvatn, H. H., Hallan, G. G., Espehaug, B. B., Sjursen, H. H., & Fevang, B. T. (2012). Bacterial Findings in Infected Hip Joint Replacements in Patients with Rheumatoid Arthritis and Osteoarthritis: A Study of 318 Revisions for Infection Reported to the Norwegian Arthroplasty Register. ISRN Orthopedics, 1-6. doi:10.5402/2012/437675
Witsø, E. (2012). The role of infection-associated risk factors in prosthetic surgery. Hip International: The Journal of Clinical and Experimental Research on Hip Pathology and Therapy, 22 Suppl 8S5-S8. doi:10.5301/HIP.2012.9564