Key result
Emergency orthopedic surgery linked to ~118% higher risk of early postoperative SSIs vs elective procedures.
Why the study?
Surgical site infections are prevalent post-surgery consequences that extend hospital stays and increase readmission and ICU admission risks, prompting evaluation of early postoperative infection rates in orthopedic surgeries.
Does emergency orthopedic surgery increase the risk of early postoperative infections compared to elective surgery in patients undergoing orthopedic procedures?
Cross-Sectional (n=2,369)
No
Does emergency orthopedic surgery increase the risk of early postoperative infections compared to elective surgery in patients undergoing orthopedic procedures?
Absolute Event Rate: 17.4% vs 8%
Emergency orthopedic surgeries are associated with a substantially higher rate of early postoperative surgical site infections compared to elective procedures.
May warrant heightened infection surveillance after emergency orthopedic surgery; hypothesis-generating for preventive interventions in prospective studies.
Background Surgical site infections (SSIs) are prevalent consequences postsurgery, leading to an average hospital stays extension of 1–2 weeks and markedly increasing readmission, including a 60% increased likelihood of requiring ICU admission. Aim The purpose of this study was to evaluate the occurrence of early postoperative infections in orthopedic surgeries. Patients and methods This is a cross-sectional study included 2369 cases who underwent orthopedic surgeries at the Orthopedic Surgery Department, Faculty of Medicine, Tanta University, Egypt. The patients were categorized into two groups: group A consisted of 1546 cases who underwent emergency surgeries at the Emergency Hospital, Tanta University, and group B included 823 cases who had elective surgeries at Tanta University Hospitals. Results The study found that the overall incidence of SSIs was 14.18%. Of those affected, 63.9% had superficial infections, while 36.1% developed deep infections requiring surgical intervention. The infection rate for emergency surgeries was 17.4%, whereas it was 8% for elective orthopedic surgeries. Conclusions The incidence of SSIs in this cohort was 14.18%. Superficial infections accounted for 63.9% of cases, while 36.1% of patients experienced deep infections. The infection rate was higher for emergency orthopedic surgeries (17.4%) compared to elective procedures (8%).
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Fakhreldin et al. (2026) conducted a cross-sectional in Orthopedic surgery (n=2,369). Emergency orthopedic surgery vs. Elective orthopedic surgery was evaluated on Surgical site infections (SSIs). Emergency orthopedic surgery was associated with a higher rate of early postoperative surgical site infections compared to elective procedures (17.4% vs 8.0%).
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