{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T12:35:09Z","timestamp":1771504509797,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. esc. enferm. USP"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>Abstract OBJECTIVE Characterizing readmissions from orthopedic surgical site infections. METHOD An integrative review of literature in the LILACS, IBECS, MEDLINE, Cochrane, SciELO and PUBMED databases, using the descriptors Patient readmission, Wound infection, Cross infection, Orthopedic procedures, Orthopedics. RESULTS 78 studies were identified and 10 publications were selected. Surgical site infections are the most common cause of unplanned orthopedic readmissions, representing long periods of hospitalization, new surgical procedures and high costs, and greater possibility of subsequent hospitalizations. Most significant predictors have indicated average length of hospitalization, need for intensive care, emergency status at admission, risk of death, age &gt; 65 years, males and higher body mass index. CONCLUSION Readmission rates have increasingly become measures of quality and concerns about costs. New studies could involve issues related to indirect costs, specifically social and psychological costs.<\/jats:p>","DOI":"10.1590\/s0080-623420150000600018","type":"journal-article","created":{"date-parts":[[2015,12,10]],"date-time":"2015-12-10T02:19:05Z","timestamp":1449713945000},"page":"1004-1011","source":"Crossref","is-referenced-by-count":2,"title":["Readmission from orthopedic surgical site infections: an integrative review"],"prefix":"10.1590","volume":"49","author":[{"given":"Lilian Machado","family":"Torres","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil; Faculdade de Ci\u00eancias M\u00e9dicas, Brazil"}]},{"given":"Ruth Nat\u00e1lia Teresa","family":"Turrini","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}]},{"given":"Miriam Aparecida Barbosa","family":"Merighi","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}]},{"given":"Arm\u00e9nio Guardado","family":"Cruz","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra, Portugal"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.7812\/TPP\/13-021","article-title":"Challenges in evaluating all-cause hospital readmission measures for use as national consensus standards","volume":"17","author":"Morgan A","year":"2013","journal-title":"Perm J"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.jamcollsurg.2012.11.013","article-title":"Validation of new readmission data in the American College of Surgeons National Surgical Quality Improvement Program","volume":"216","author":"Sellers MM","year":"2013","journal-title":"J Am Coll Surg"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/MLR.0000000000000081","article-title":"Medical and surgical readmissions in the Veterans Health Administration: what proportion are related to the index hospitalization?","volume":"52","author":"Rosen AK","year":"2014","journal-title":"Med Care"},{"issue":"4","key":"ref4","first-page":"257","article-title":"Assessment of the surgical site infection in 14 hospitals of the Madrid Region: an incidence study","volume":"29","author":"Dias-Agero-P\u00e9rez C","year":"2011","journal-title":"Enferm Infecc Microbiol Clin"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"348","DOI":"10.2106\/JBJS.K.01672","article-title":"Risk Factors for deep surgical site infection following operative treatment of ankle fractures","volume":"95","author":"Ovaska MT","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1590\/S0104-11692011000600012","article-title":"Surgical Site Infection in patients submitted to orthopedic surgery: the NNIS Risk Index and Risk Prediction","volume":"19","author":"Ercole FF","year":"2011","journal-title":"Rev Lat Am Enfermagem"},{"issue":"13","key":"ref7","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1056\/NEJMoa1306801","article-title":"Multistate point-prevalence survey of health care-associated infections","volume":"370","author":"Magill SS","year":"2014","journal-title":"N Engl J Med"},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1001\/jamasurg.2013.4663","article-title":"Costs associated with surgical site infections in Veterans Affairs Hospital","volume":"149","author":"Schweizer ML","year":"2014","journal-title":"JAMA. Surg"},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5435\/00124635-201202000-00005","article-title":"Contributing factors to surgical site infections","volume":"20","author":"Harrop JS","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1146\/annurev-med-022613-090415","article-title":"Reducing hospital readmission rates: current strategies and future directions","volume":"65","author":"Kripalani S","year":"2014","journal-title":"Annu Rev Med"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1179\/1973947812Y.0000000045","article-title":"Antibiofilm agents and implant-related infections in orthopaedics: Where we are?","volume":"25","author":"Roman\u00f2 CL","year":"2013","journal-title":"J Chemother"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s00776-014-0545-z","article-title":"Outcome and treatment of postoperative spine surgical site infections: predictors of treatment success and failure","volume":"19","author":"Maruo K","year":"2014","journal-title":"J Orthop Sci"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-200704000-00012","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz S","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"33","key":"ref14","doi-asserted-by":"crossref","first-page":"8018","DOI":"10.1016\/j.biomaterials.2013.07.048","article-title":"A review of the clinical implications of anti-infective biomaterials and infection-resistant surfaces","volume":"34","author":"Campoccia D","year":"2013","journal-title":"Biomaterials"},{"key":"ref15","series-title":"Do current discharge arrangements from inpatient hospital care for the elderly reduce readmission rates, the length of inpatient stay or mortality, or improve health status? [Internet]","year":"2005"},{"issue":"3","key":"ref16","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s00586-014-3523-4","article-title":"Surgical-site infection in spinal injury: incidence and risk factors in a prospective cohort of 518 patients","volume":"24","author":"Dubory A","year":"2015","journal-title":"Eur Spine J"},{"issue":"18","key":"ref17","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.M.01363","article-title":"Risk factors for surgical site infection following total joint arthroplasty","volume":"96","author":"Rasouli MR","year":"2014","journal-title":"J Bone Joint Surg Am"},{"issue":"Suppl esp","key":"ref18","first-page":"3","article-title":"Integrative literature review step-by-step & convergences with other methods of review","volume":"2","author":"Teixeira E","year":"2013","journal-title":"Rev Enferm UFPI"},{"key":"ref19","series-title":"Joanna Briggs Institute reviewers' manual 2014 edition [Internet]","year":"2014"},{"issue":"14","key":"ref20","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1097\/BRS.0b013e318245f561","article-title":"An analysis of causes of readmission after spine surgery","volume":"37","author":"McCormack RA","year":"2012","journal-title":"Spine (Phila Pa 1986)"},{"issue":"11","key":"ref21","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.2106\/JBJS.K.01569","article-title":"Risk factors for readmission of orthopaedic surgical patients","volume":"95","author":"Dailey EA","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1097\/00115514-201301000-00011","article-title":"Thirty-day readmission rates as a measure of quality: causes of readmission after orthopedic surgeries and accuracy of administrative data","volume":"58","author":"McCormack R","year":"2013","journal-title":"J Healthc Manag"},{"issue":"2","key":"ref23","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s11999-012-2597-8","article-title":"3rd. When do readmissions for infection occur after spine and total joint procedures?","volume":"471","author":"Nacke E","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"ref24","doi-asserted-by":"crossref","first-page":"134","DOI":"10.3171\/2012.10.SPINE12559","article-title":"Pitfalls of calculating hospital readmission rates based on nonvalidated administrative data sets","volume":"18","author":"Amin BY","year":"2013","journal-title":"J Neurosurg Spine"},{"issue":"20","key":"ref25","doi-asserted-by":"crossref","first-page":"1869","DOI":"10.2106\/JBJS.L.00679","article-title":"Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors","volume":"95","author":"Zmistowski B","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"ref26","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.arth.2013.09.017","article-title":"The economic impact of periprosthetic infections following total knee arthroplasty","volume":"29","author":"Kapadia BH","year":"2014","journal-title":"J Arthroplasty"},{"issue":"12","key":"ref27","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1016\/j.jocn.2010.03.037","article-title":"Comparison of outpatient and inpatient spine surgery patients with regards to obesity, comorbidities and readmission for infection","volume":"17","author":"Walid MS","year":"2010","journal-title":"J Clin Neurosci"},{"issue":"2","key":"ref28","doi-asserted-by":"crossref","first-page":"182","DOI":"10.3928\/01477447-20140124-23","article-title":"Sazonality of infection rates after total joint arthroplasty","volume":"37","author":"Kane P","year":"2014","journal-title":"Orthopedics"},{"issue":"9","key":"ref29","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/NXN.0b013e3182999df8","article-title":"The influence of goal setting and smart room patient education videos on readmission rate, length of stay, and patient satisfaction in orthopedic spine population","volume":"31","author":"Wang W","year":"2013","journal-title":"Comput Inform Nurs"},{"key":"ref30","series-title":"Int Nur Rev","first-page":"159","volume":"61","author":"Ehlers V","year":"2014"},{"issue":"1","key":"ref31","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.cnur.2014.10.003","article-title":"Understanding quality patient care and the role of the practicing nurse","volume":"50","author":"Owens LD","year":"2015","journal-title":"Nurs Clin N Am"}],"container-title":["Revista da Escola de Enfermagem da USP"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/reeusp\/v49n6\/0080-6234-reeusp-49-06-1008.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,12]],"date-time":"2020-09-12T12:14:09Z","timestamp":1599912849000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0080-62342015000601004&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["S0080-62342015000601004"],"URL":"https:\/\/doi.org\/10.1590\/s0080-623420150000600018","relation":{},"ISSN":["0080-6234"],"issn-type":[{"value":"0080-6234","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}