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Is hemoglobin A1c and perioperative hyperglycemia predictive of periprosthetic joint infection following total joint arthroplasty?: A systematic review and meta-analysis.

Abstract This meta-analysis aims to determine whether hemoglobin A1c (HbA1c) and perioperative hyperglycemia are associated with the increased risk of periprosthetic joint infection following total knee and hip arthroplasty.
PMID
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Authors

Mayor MeshTerms

Arthroplasty, Replacement, Hip

Arthroplasty, Replacement, Knee

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390415
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Is hemoglobin A1c and perioperative hyperglycemia predictive of periprosthetic
      joint infection following total joint arthroplasty?: A systematic review and
      meta-analysis.
PG  - e8805
LID - 10.1097/MD.0000000000008805 [doi]
AB  - OBJECTIVE: This meta-analysis aims to determine whether hemoglobin A1c (HbA1c)
      and perioperative hyperglycemia are associated with the increased risk of
      periprosthetic joint infection following total knee and hip arthroplasty.
      METHODS: A systematic search is performed in Medline (1966-October 2017), PubMed 
      (1966-October 2017), Embase (1980-October 2017), ScienceDirect (1985-October
      2017), and the Cochrane Library. Only high-quality studies are selected. A
      meta-analysis is performed using Stata 11.0 software. RESULTS: Six retrospective 
      studies including 26,901 patients meet the inclusion criteria. The present
      meta-analysis indicates that there are significant differences between groups in 
      terms of perioperative random blood glucose level [weighted mean difference (WMD)
      = 2.365, 95% confidence interval (95% CI): 1.802-2.929, P = .000] and
      perioperative hemoglobin A1c level (WMD = 3.266, 95% CI: 2.858-3.674, P = .000). 
      No significant difference is found regarding body mass index (BMI) condition
      between groups (WMD = 0.027, 95% CI: -0.487 to 0.541, P = .919). CONCLUSION: The 
      present meta-analysis shows that high HbA1c and perioperative hyperglycemia are
      associated with a higher risk of periprosthetic joint infection following total
      joint arthroplasty. Screening of HbA1c and perioperative blood glucose is
      therefore an effective method to predict deep infection.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Yang, Liqing
AU  - Yang L
FAU - Sun, Yuefeng
AU  - Sun Y
FAU - Li, Ge
AU  - Li G
FAU - Liu, Jiulong
AU  - Liu J
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Glycated Hemoglobin A)
SB  - AIM
SB  - IM
MH  - Arthritis, Infectious/*diagnosis
MH  - *Arthroplasty, Replacement, Hip
MH  - *Arthroplasty, Replacement, Knee
MH  - Glycated Hemoglobin A/*analysis
MH  - Humans
MH  - Hyperglycemia/*blood
MH  - Perioperative Care
MH  - Postoperative Complications/diagnosis
MH  - Predictive Value of Tests
MH  - Prosthesis-Related Infections/*diagnosis
PMC - PMC5758117
EDAT- 2018/02/03 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - 10.1097/MD.0000000000008805 [doi]
AID - 00005792-201712220-00002 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e8805. doi: 10.1097/MD.0000000000008805.