Periprosthetic infection risks and predictive value of c-reactive protein / albumin ratio for total joint arthroplasty

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dc.contributor.authorYiğit, Şeyhmus
dc.contributor.authorAkar, Mehmet Sait
dc.contributor.authorŞahin, Mehmet Akif
dc.contributor.authorArslan, Hüseyin
dc.date.accessioned2024-04-24T17:58:13Z
dc.date.available2024-04-24T17:58:13Z
dc.date.issued2021
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground and aim: There are no gold standard markers to estimate the risk of developing periprosthetic infections. Our aim is to compare the risks of periprosthetic infection in patients with THA and THA and to investigate the predictive significance of the CRP / albumin ratio. Methods: This is a retrospective study containing data from 241 osteoarthritis patients and 19 patients with periprosthetic infections who underwent TKA and THA in our hospital from January 2014 to January 2019.12 risk factors(CRP/ albumin, albumin, CRP, age, gender, BMI, DM, ASA, nasal culture, urine culture, hospital stay, operation time) were analyzed. Results: In the binary logistic regression model and multivariate regression analysis, the rate of CRP / albumin was 17.161 times higher than the patients with ?0.16 cut-off value. (CRP / albumin ratio (odds ratio (OR) = 17.16, 95% CI: 1.55-189.03, P: 0.02). High BMI increased the risk of periprosthetic infection 1.3 times. Nasal bacterial colonization (OR = 0.99, 95% CI: 0.868-1.38, P: 0.7) and bacterium in urine (OR = 0.502, 95% CI: 0.07-3.598, P: 0.703) did not pose a significant risk for periprosthetic infection. Conclusion: According to our findings, the CRP / albumin ratio has a more prognostic capacity than other risks in determining the risk of periprosthetic infection for total joint arthroplasty. CRP / albumin ratio is a cheap and easy to apply marker. Routine urine and nasal bacteria screening is not required before total joint arthroplasty.en_US
dc.identifier.citationYiğit, Ş., Akar, M. S., Şahin, M. A. ve Arslan, H. (2021). Periprosthetic infection risks and predictive value of c-reactive protein / albumin ratio for total joint arthroplasty. Acta Biomedica, 92(4), 1-7.
dc.identifier.doi10.23750/abm.v92i4.10995
dc.identifier.issn0392-4203
dc.identifier.issue4en_US
dc.identifier.pmid34487091
dc.identifier.scopus2-s2.0-85114470141
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.23750/abm.v92i4.10995
dc.identifier.urihttps://hdl.handle.net/11468/23716
dc.identifier.volume92en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMattioli 1885en_US
dc.relation.ispartofActa Biomedica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCrp/ Albumin ratioen_US
dc.subjectPeriprosthetic infectionen_US
dc.subjectRisk factorsen_US
dc.subjectTotal joint arthroplastyen_US
dc.titlePeriprosthetic infection risks and predictive value of c-reactive protein / albumin ratio for total joint arthroplastyen_US
dc.titlePeriprosthetic infection risks and predictive value of c-reactive protein / albumin ratio for total joint arthroplasty
dc.typeArticleen_US

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