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- W3181665757 abstract "Background: Patients with prosthetic joint infection (PJI) impose a significant burden in total costs, resources consumed, complication rates, and readmission risk. We sought to determine how patients with PJI who were transferred from other hospitals were initially triaged and managed by medical centers across the country. Methods: An online survey was sent to fellowship program directors or chiefs of adult reconstruction (AR) divisions at academic medical centers. The survey consisted of 11 multiple-choice questions regarding initial management and disposition of patients with PJI who were transferred from other hospitals. Statistical analysis was performed. Results: Of 96 programs queried, 34 institutions responded. All participating programs performed revision arthroplasties. Thirty-three (97.5%) of the 34 programs accepted transfer of patients with PJI, even if the index arthroplasty procedure was done elsewhere. Twenty-eight (82.4%) responded that a fellowship-trained AR surgeon provides initial treatment to transferred patients with PJI, provided patients are not septic or critically ill. If a patient was septic or critically ill, 12 (35.3%) programs responded that the surgeon on call for general orthopaedics would provide the initial treatment for PJI, usually with irrigation and debridement with retention of components and that, once the patient is medically stabilized, a fellowship-trained AR surgeon would assume care. Roughly 44% of the programs that participated in the survey had a dedicated AR call pool. Conclusions: There were a variety of models used by academic medical centers for triaging and management of PJI transfer patients. There does not seem to be one single algorithm universally accepted as optimum for initial management of patients. Level of Evidence: Level III." @default.
- W3181665757 created "2021-07-19" @default.
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- W3181665757 date "2021-07-08" @default.
- W3181665757 modified "2023-09-25" @default.
- W3181665757 title "Adult reconstruction call and prosthetic joint infection (PJI) management patterns across the United States: a cross-sectional study" @default.
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- W3181665757 doi "https://doi.org/10.1097/bco.0000000000001031" @default.
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