title: [Readmission from orthopedic surgical site infections: an integrative review].
abstract: OBJECTIVE
  Characterizing readmissions from orthopedic surgical site infections.
  
  
  METHODS
  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 > 65 years, males and higher body mass index.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem na Saúde do Adulto, São Paulo, SP, Brazil.|Faculdade de Ciências Médicas, Curso de Graduação em Enfermagem, Belo Horizonte, MG, Brazil.
authors.forename: Lilian Machado
authors.initials: LM
authors.lastname: Torres
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.
authors.forename: Ruth Natália Teresa
authors.initials: RN
authors.lastname: Turrini
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.
authors.forename: Miriam Aparecida Barbosa
authors.initials: MA
authors.lastname: Merighi
authors.affiliation: Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: Arménio Guardado
authors.initials: AG
authors.lastname: Cruz
mesh_terms: D006801:Humans; D019637:Orthopedic Procedures / Q000009:adverse effects*; D010359:Patient Readmission; D013530:Surgical Wound Infection / Q000209:etiology* / Q000628:therapy