The impact of nutritional status on surgical site infection rates among total joint arthroplasty patients: A systematic review.

IF 2.4 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-08-20 DOI:10.1016/j.ajic.2025.08.015

Rachel Gee, Kathleen Haurin, Arjun Saxena, Katherine I DiSantis

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引用次数: 0

Abstract

Background: The increasing prevalence of total joint arthroplasty (TJA) procedures, driven by an aging population, highlights the importance of identifying modifiable risk factors for surgical complications. Malnutrition has been associated with adverse outcomes, including higher rates of surgical site infections (SSIs). Food insecurity, affecting approximately 9% of U.S. adults aged 65 and older, may contribute to malnutrition and influence postoperative recovery. This systematic review examines the relationship between food security, nutritional status, and SSIs in patients undergoing TJA.

Methods: A systematic search of PubMed and CINAHL was conducted between January and October 2024 for studies published before December 2023, following PRISMA guidelines. Eligible studies assessed the impact of food access and/or nutritional status on SSI incidence among TJA patients. Data on study characteristics, nutritional indicators, SSI rates, and postoperative outcomes were extracted and analyzed.

Results: Of 2,766 articles identified, 20 met inclusion criteria. Malnutrition, particularly low serum albumin, was significantly associated with increased SSIs, longer hospital stays, higher complication rates, and increased readmissions. However, no studies directly evaluated the impact of food insecurity on SSIs.

Conclusions: These findings support the implementation of preoperative nutritional and food security screening to identify at-risk patients and guide interventions that may improve postoperative outcomes.

查看原文本刊更多论文

营养状况对全关节置换术患者手术部位感染率的影响：一项系统综述。

引言：由于人口老龄化，全关节置换术（TJA）手术的数量不断增加，这突出了评估影响手术结果的因素的必要性。营养状况是患者预后的关键决定因素，营养不良与手术并发症风险增加有关。粮食不安全影响着9%的65岁及以上的美国人，可能加剧或导致营养不良，从而影响TJA的结果。本系统综述旨在调查美国TJA患者中食品安全和/或营养不良与SSI发生率之间的关系。方法：遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目，于2024年1月至10月对PubMed和CINAHL数据库进行了系统检索，以确定2023年12月之前发表的研究，研究食物获取和/或营养不良对TJA患者SSI发生率的影响。筛选符合条件的研究，提取数据并分析研究特征、营养标识、SSI率和术后结果。结果：在最初鉴定的2766篇文章中，有20篇符合纳入标准。研究结果表明，营养状况不佳，特别是血清白蛋白水平低，与较高的SSI发生率之间存在显著关联。营养不良患者还表现出住院时间延长、术后并发症增加和再入院率升高。营养不良显著影响TJA的预后，强调术前营养评估和干预的必要性。结论：术前营养缺乏会对患者的康复产生负面影响，增加ssi，并增加医疗保健利用率。未来的研究应纳入标准化的营养评估工具和术前护理期间的食品安全评估，以更好地确定干预措施的机会，以改善TJA患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)