| Title |
Central sensitization is a risk factor for wound complications after primary total knee arthroplasty
|
|---|---|
| Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, March 2018
|
| DOI | 10.1007/s00167-018-4914-6 |
| Pubmed ID | |
| Authors |
Man Soo Kim, In Jun Koh, Seung Yeol Lee, Yong In |
| Abstract |
Postoperative wound complication is a significant risk factor for subsequent deep periprosthetic joint infection after total knee arthroplasty (TKA). Central sensitization is an abnormal enhancement of pain mechanism involving the central nervous system. Although psychological disorder is widely considered as a risk factor, the relationship between central sensitization and wound complication is currently unclear. Therefore, the purpose of this study was to investigate whether central sensitization was associated with high wound complication rate after primary TKA. Between January and June 2016, 161 patients undergoing unilateral TKA were prospectively divided into two groups based on central sensitization inventory score of 40 points after excluding cases with known risk factors such as physical comorbidities, health-related behaviors, and psychological disorders. Group 1 consisted of 112 patients (112 knees) whose central sensitization inventory score was < 40 points and group 2 consisted of 49 patients (49 knees) whose central sensitization inventory score was ≥ 40 points. Wound complications were defined as wound dehiscence, suture granuloma, prolonged wound oozing after postoperative day 5, significant hematoma formation, or surgical site infection recorded during the initial 90-day postoperative period. Demographic data, visual analog scale (VAS), central sensitization inventory score, and wound complications were compared between the two groups. Wound complications developed in 3 (2.7%) knees in group 1 and 14 (28.6%) knees in group 2 (p < 0.001). Multivariate logistic regression analysis showed that the odds of postoperative wound complications were increased 15.7 times in patients with central sensitization inventory score ≥ 40 (95% CI 4.1-60.0, p < 0.001). Central sensitization is a risk factor for the development of postoperative wound complication after primary TKA. II. |
X Demographics
The data shown below were collected from the profiles of 19 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 5 | 26% |
| Australia | 1 | 5% |
| Singapore | 1 | 5% |
| Netherlands | 1 | 5% |
| Italy | 1 | 5% |
| United States | 1 | 5% |
| United Kingdom | 1 | 5% |
| Canada | 1 | 5% |
| Germany | 1 | 5% |
| Other | 0 | 0% |
| Unknown | 6 | 32% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 16 | 84% |
| Scientists | 2 | 11% |
| Practitioners (doctors, other healthcare professionals) | 1 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 42 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 7 | 17% |
| Student > Master | 5 | 12% |
| Other | 4 | 10% |
| Researcher | 3 | 7% |
| Student > Postgraduate | 2 | 5% |
| Other | 3 | 7% |
| Unknown | 18 | 43% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 12 | 29% |
| Nursing and Health Professions | 5 | 12% |
| Psychology | 3 | 7% |
| Unspecified | 1 | 2% |
| Arts and Humanities | 1 | 2% |
| Other | 2 | 5% |
| Unknown | 18 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2018.
All research outputs
#2,558,746
of 23,577,761 outputs
Outputs from Knee Surgery, Sports Traumatology, Arthroscopy
#273
of 2,728 outputs
Outputs of similar age
#55,953
of 332,698 outputs
Outputs of similar age from Knee Surgery, Sports Traumatology, Arthroscopy
#11
of 48 outputs
Altmetric has tracked 23,577,761 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,728 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one has done well, scoring higher than 89% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 332,698 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 83% of its contemporaries.
We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.