Evaluation of early wound leakage as a risk factor for prosthetic joint infection.

Abstract:

BACKGROUND AND PURPOSE:Prosthetic joint infection (PJI) is a serious complication resulting from total knee arthroplasty (TKA) or total hip arthroplasty (THA). In this study, patients with a PJI are compared with patients with an uncomplicated postoperative course to identify relevant risk factors for PJI. METHODS:A matched case-control study was performed with patients undergoing fast-track, elective unilateral TKA or THA. The following data were collected: demographics, surgery-related characteristics (perioperative blood loss, use of cement, body temperature), and postoperative characteristics (hematoma formation, wound leakage, blood transfusion, length of stay [LOS]). CONCLUSIONS:When the PJI group was compared with the control group, there was significantly more wound leakage during hospital stay (88% vs. 36%, p = .001) and early wound dressing changes in the first 3 days after surgery (88% vs. 40%, p = .002). Hematoma formation was observed more in the PJI patients group (44% vs. 10%, p = .005). A trend test revealed a significant association between the total number of wound dressing changes and development of PJI (p < .001); 72% of PJI patients had a length of stay of ≥4 days compared with 34% of controls (odds ratio 10.5; 95% CI [2.1-52.3]; p = .004). IMPLICATIONS FOR PRACTICE:Early postoperative wound drainage and hematoma formation directly correlate with PJI. This resulted in a significantly higher number of dressing changes and longer LOS. The nurse practitioner has a central role in postoperative care and is the first to recognize signs of an adverse postoperative clinical course.

journal_name

J Am Assoc Nurse Pract

authors

Kremers K,Leijtens B,Camps S,Tostmann A,Koëter S,Voss A

doi

10.1097/JXX.0000000000000159

subject

Has Abstract

pub_date

2019-06-05 00:00:00

pages

337-343

issue

6

eissn

2327-6886

issn

2327-6924

journal_volume

31

pub_type

杂志文章
  • Organizational climate in primary care settings: implications for nurse practitioner practice.

    abstract:PURPOSE:The purpose of this review is to investigate literature related to organizational climate, define organizational climate, and identify its domains for nurse practitioner (NP) practice in primary care settings. DATA SOURCES:A search was conducted using MEDLINE, PubMed, HealthSTAR/Ovid, ISI Web of Science, and s...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1111/j.1745-7599.2012.00765.x

    authors: Poghosyan L,Nannini A,Clarke S

    更新日期:2013-03-01 00:00:00

  • The changing landscape of nephrology physician assistants and nurse practitioners.

    abstract:BACKGROUND:Physician assistants (PAs) and nurse practitioners (NPs) have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased. PURPOSE:To evaluate workforce patterns of PAs and NPs working in nephrology over the past decade. METHODS:Using the biannual surv...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000490

    authors: Davis J,Zuber K

    更新日期:2021-01-01 00:00:00

  • Intent of health care providers to adopt a clinical decision support tool in the management of minor pediatric head injuries.

    abstract:BACKGROUND:Radiographic neuroimaging in minor pediatric head injuries contains risks of radiation-induced malignancy. The Pediatric Emergency Care Applied Research Network (PECARN) head injury protocol identifies head-injured children who are at very low risk of clinically important traumatic brain injuries and can saf...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000208

    authors: Zarchi TB

    更新日期:2020-02-01 00:00:00

  • Parental perception of child's body mass index and health within primary care.

    abstract:BACKGROUND AND PURPOSE:Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regard...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12463

    authors: Reyes I,Higgins M

    更新日期:2017-07-01 00:00:00

  • Evolving role of pediatric nurse practitioners.

    abstract:PURPOSE:To report and interpret findings from national pediatric nurse practitioner (PNP) job analysis surveys reflecting the changes in the knowledge and skills required for advanced practice. DATA SOURCES:National role delineation studies (RDS) conducted by American Nurses Credentialing Center (ANCC) in 2003, 2008, ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12289

    authors: Aruda MM,Griffin VJ,Schartz K,Geist M

    更新日期:2016-02-01 00:00:00

  • International perspectives on the pediatric nurse practitioner role.

    abstract:INTRODUCTION:Advanced pediatric nurse practitioners (APNPs) working in acute settings are represented in pediatric hospitals, clinics, and wards around the world. They work independently and autonomously. The aim of this study was to compare the role of APNPs in four different countries to gain knowledge on the qualifi...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000252

    authors: Würtz GMF,Jensen CS,Egerod I

    更新日期:2019-12-01 00:00:00

  • Metabolic syndrome: clinical perspective for best practice.

    abstract:PURPOSE:To explore current studies on metabolic syndrome (MetS), including its complex pathophysiology and to describe the unique role of the advanced practice nurse including management and ethical decision making utilizing a case study to exemplify salient points. DATA SOURCES:From original research articles extract...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12048

    authors: Olde D,Alpert P,Dalusung-Angosta A

    更新日期:2013-12-01 00:00:00

  • Rural parent behaviors and expectations when caring for children with acute respiratory infections.

    abstract:PURPOSE:To explore rural parents' behaviors and expectations regarding acute respiratory infections (ARIs) in children. DATA SOURCES:A random digit dial telephone survey administered to 655 rural adults; 176 answered questions regarding care of their children. CONCLUSIONS:Increasing fluid intake was the action most p...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1111/j.1745-7599.2012.00802.x

    authors: Hart AM,Morgan KM,Casper GM

    更新日期:2013-08-01 00:00:00

  • Diarrhea-predominant irritable bowel syndrome: Diagnosis, etiology, and new treatment considerations.

    abstract:PURPOSE:To provide an overview of irritable bowel syndrome (IBS), specifically the efficacy and tolerability of treatment options for diarrhea-predominant IBS (IBS-D). DATA SOURCES:Research articles available via PubMed were reviewed. CONCLUSIONS:IBS is a chronic multifactorial disorder that has a negative impact on ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12387

    authors: Lacy BE,Moreau JC

    更新日期:2016-07-01 00:00:00

  • Delivery of a community-based nutrition education program for minority adults.

    abstract:BACKGROUND AND PURPOSE:Chronic diseases such as heart disease, type 2 diabetes, and obesity disproportionately affect minority adults, including African Americans. Engaging in lifestyle changes such as improving dietary habits and increasing physical activity can decrease the incidence and severity of these chronic dis...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000144

    authors: Downes LS,Buchholz SW,Bruster B,Girimurugan SB,Fogg LF,Frock MS

    更新日期:2019-04-01 00:00:00

  • Health care system changes supporting the development of the nurse practitioner role in Tanzania.

    abstract:BACKGROUND AND PURPOSE:Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The d...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000168

    authors: Mboineki JF,Chen C

    更新日期:2019-09-01 00:00:00

  • Positive precepting: Identifying NP student learning levels and needs.

    abstract:BACKGROUND AND PURPOSE:Clinical preceptors are vital partners in the education of nurse practitioner (NP) students. This article describes NP student learning stages and proposes strategies preceptors can use to facilitate precepting NP students who enter clinical rotations at varied learner levels. METHODS:Searches w...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1097/JXX.0000000000000106

    authors: Pearson T,Hensley T

    更新日期:2019-02-01 00:00:00

  • Project Five Wishes: promoting advance directives in primary care.

    abstract:BACKGROUND:Despite the widely known and well-established benefits of advance care planning, it is estimated that 15-30% of American adults have completed advance directives (ADs). Evidence suggests that the best place for advance care planning (ACP) is in primary care, but many barriers to this practice exist. LOCAL P...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000289

    authors: Atherton KN

    更新日期:2020-10-01 00:00:00

  • Attitudes toward evidence-based clinical decision support tools to reduce exposure to ionizing radiation: The Canadian CT Head Rule.

    abstract:BACKGROUND AND PURPOSE:A large degree of variation in clinical practice exists among clinicians evaluating and treating individuals with minor head injuries. Noncontrast head computerized tomography (CT) scans are commonly used to assess for intracranial damage in patients presenting with head injury. This practice is ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12402

    authors: Zakhari R,Sterrett SE

    更新日期:2016-12-01 00:00:00

  • MedManage: The development of a tool to assist medication reconciliation in a rural primary care clinic.

    abstract:BACKGROUND:Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000197

    authors: Jarrett T,Cochran J,Baus A,Delmar K

    更新日期:2019-12-01 00:00:00

  • Geographical mapping of advanced practice registered nurses in Louisiana: Leveraging the power of data display.

    abstract:BACKGROUND AND PURPOSE:Identifying the locations of advanced practice registered nurses (APRNs) in the state is challenging without data readily available, which can adversely affect stakeholder initiatives. The purpose of this project was to develop an online interactive map reflecting distribution of APRNs licensed b...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000091

    authors: Becnel BJ,Pearce PF,Eiswirth E

    更新日期:2019-01-01 00:00:00

  • A Pap test does not screen for everything: nurse practitioner knowledge of ovarian cancer.

    abstract:PURPOSE:Nurse practitioners (NPs) are in a prime position to educate women about initial signs and symptoms of ovarian cancer (OC) and perform appropriate screening tests. However, little is known about NPs knowledge regarding OC. This article's purpose is to present the outcomes of a focused OC awareness program for N...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12151

    authors: Loerzel VW,Hunt D,Rash E

    更新日期:2015-03-01 00:00:00

  • Biology of obesity and weight regain: Implications for clinical practice.

    abstract:BACKGROUND AND PURPOSE:Weight loss is recommended as first-line therapy for many chronic illnesses, including obesity. Most patients who do successfully lose weight are unable to maintain their reduced weight. Recent research findings are reviewed and synthesized to explain the biology of obesity, adaptation to weight ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12504

    authors: Rogge MM,Gautam B

    更新日期:2017-10-01 00:00:00

  • Is the ICH score a valid predictor of mortality in intracerebral hemorrhage?

    abstract:PURPOSE:The intracerebral hemorrhage (ICH) score utilizes a 0- to 6-point scoring system to predict 30-day mortality in ICH patients. The purpose of this analysis was to (a) validate the ICH score in an international, heterogeneous population of ICH patients; and (b) assess the usefulness of a 72-h ICH score. DATA SOU...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12198

    authors: Meyer DM,Begtrup K,Grotta JC,Recombinant Activated Factor VII Intracerebral Hemorrhage Trial Investigators.

    更新日期:2015-07-01 00:00:00

  • Recognizing obesity as a disease.

    abstract::Obesity is a chronic, progressive, relapsing disease that impairs health and quality of life and shortens lifespan. Genetic and environmental factors contribute to its development and persistence. If left untreated, it worsens and leads to serious health consequences for those affected, as well as their offspring and ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000482

    authors: Christensen S

    更新日期:2020-07-01 00:00:00

  • Relative value units in health care: Friend, foe, or necessary evil?

    abstract::The purpose of this article is to describe this use of relative value units (RVUs) among nurse practitioners (NP), including the challenges NPs may experience. Relative value units were developed as a means to determine reimbursement for health care based on time spent with the patient and skills required to complete ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000515

    authors: Sheppard KG,Duncan CG

    更新日期:2020-09-01 00:00:00

  • Everything the nurse practitioner should know about pediatric feeding tubes.

    abstract:PURPOSE:To provide an overview of the current feeding tubes in use in the pediatric population including feeding tube complications, and specific guidance for patients at the initiation, throughout the use of, and at the discontinuation of tube feeding. DATA SOURCES:A review of the literature was performed using multi...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12075

    authors: Hannah E,John RM

    更新日期:2013-11-01 00:00:00

  • Three things every nurse practitioner can do to integrate genetics into practice.

    abstract::Genetic and genomic information has the potential to improve patient care and outcomes by improving clinicians' ability to identify patients at increased risk of disease and, in some cases, personalize treatment and management. However, many clinicians report that they feel unprepared and lack confidence in talking ab...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000182

    authors: Reed EK,Ingram T,Edelman EA

    更新日期:2019-01-01 00:00:00

  • Measuring the influence of a mental health training module on the therapeutic optimism of advanced nurse practitioner students in the United Kingdom.

    abstract:PURPOSE:To evaluate the influence of a mental health training module on the therapeutic optimism of advanced nurse practitioner (ANP) students in primary care (family practice). DATA SOURCES:Three cohorts of ANPs who undertook a Mental Health Problems in Primary Care Module as part of their MSc ANP (primary care) run ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12028

    authors: Hemingway S,Rogers M,Elsom S

    更新日期:2014-03-01 00:00:00

  • Recognizing the clinical manifestations of acromegaly: case studies.

    abstract:PURPOSE:To present case studies of a 36-year-old woman and a 73-year-old man who presented with the syndrome of acromegaly, and to provide primary care nurse practitioners (NPs) with the understanding of the clinical and laboratory features needed for early recognition and treatment of this fascinating disease. DATA S...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12076

    authors: Iuliano SL,Laws ER Jr

    更新日期:2014-03-01 00:00:00

  • Are college students told by health care providers about their risk factors for developing diabetes?

    abstract:BACKGROUND AND PURPOSE:Communication about risk factors for diabetes between nurse practitioners and college students may not be occurring as the prevalence of Type 2 diabetes increases. The purpose of this secondary analysis was to evaluate if college students are being told of their risk for diabetes based on known r...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000051

    authors: Saylor JL,Calamaro CJ,Hardie T,Ness M,Selekman J

    更新日期:2018-07-01 00:00:00

  • New cardiovascular guidelines: Clinical practice evidence for the nurse practitioner.

    abstract:PURPOSE:Guidelines for the prevention and treatment of cardiovascular disease (CVD) have recently changed. Goals of these guidelines have shifted to the promotion of health and control of risk rather than solely on treatment of CVD. This article summarizes the six new cardiovascular screening, prevention, and treatment...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12262

    authors: Lefler LL,Hadley M,Tackett J,Thomason AP

    更新日期:2016-05-01 00:00:00

  • Unmet needs in the acute treatment of migraine attacks and the emerging role of calcitonin gene-related peptide receptor antagonists: An integrative review.

    abstract:BACKGROUND:Migraine is a prevalent and chronic disease associated with high rates of disability and significant financial and socioeconomic burden. Current acute treatments for migraine attacks include both migraine-specific (e.g., triptans, ergotamines) and nonspecific (e.g., nonsteroidal anti-inflammatory drugs) medi...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000397

    authors: Mallick-Searle T,Moriarty M

    更新日期:2020-04-16 00:00:00

  • Idiopathic anaphylaxis: What you do not know may hurt you.

    abstract::Idiopathic anaphylaxis (IA), like immunologic and nonimmunologic anaphylaxis, is a life-threatening, sometimes fatal allergic disease. Although the priority is immediate recognition and initiation of treatment, long-term care planning is important to help reduce anxiety and promote healthy growth and development. Lear...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000221

    authors: Chan S,John RM

    更新日期:2020-01-01 00:00:00

  • Standardized adult-gerontology acute care nurse practitioner point-of-care ultrasound training: A new perspective in the age of a pandemic.

    abstract::Our health care landscape is rapidly changing. With the aging population and seemingly increasing outbreak of communicable diseases, it is expected that there will be a continued demand for inpatient/critical care providers. The current COVID-19 pandemic provides a glimpse of a health care system in severe provider sh...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000448

    authors: Chen LL

    更新日期:2020-06-01 00:00:00