دورية أكاديمية
Evaluation of fever in the immediate post-operative period following shoulder arthroplasty.
| العنوان: | Evaluation of fever in the immediate post-operative period following shoulder arthroplasty. |
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| المؤلفون: | Saltzman BM; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Mayo BC; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Bohl DD; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Frank RM; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Cole BJ; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Verma NN; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Nicholson GP; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA., Romeo AA; Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois 60612, USA. |
| المصدر: | The bone & joint journal [Bone Joint J] 2017 Nov; Vol. 99-B (11), pp. 1515-1519. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: British Editorial Society of Bone & Joint Surgery Country of Publication: England NLM ID: 101599229 Publication Model: Print Cited Medium: Internet ISSN: 2049-4408 (Electronic) Linking ISSN: 20494394 NLM ISO Abbreviation: Bone Joint J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : British Editorial Society of Bone & Joint Surgery |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Shoulder*, Fever/*etiology , Postoperative Complications/*etiology, Adult ; Aged ; Aged, 80 and over ; Female ; Fever/diagnosis ; Fever/epidemiology ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Multivariate Analysis ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Factors ; Time Factors |
| مستخلص: | Aims: To determine the incidence and timing of post-operative fevers following shoulder arthroplasty and the resulting investigations performed. Patients and Methods: A retrospective review was conducted of all patients undergoing shoulder arthroplasty over a nine-year period. The charts of all patients with a post-operative fever (≥ 38.6°C) were reviewed and the results of all investigations were analysed. Results: A total of 2167 cases (in 1911 patients) were included of whom 92 (4.2%) had a documented fever. Obese cases had a significantly greater risk for fever (relative risk 1.53; 95% confidence interval 1.02 to 2.32; p = 0.041). Investigations were performed in 43/92 cases (46.7%), with a diagnosis being made in six cases (6.6% of the total, two of whom had their diagnosis made post-discharge). Conclusion: Around one in 25 cases develop a fever following shoulder arthroplasty; most have no infective aetiology. These patients may be being over-investigated; investigations should be performed in patients with persistent fever or on those with an identifiable source of infection on clinical examination. Cite this article: Bone Joint J 2017;99-B:1515-19. (©2017 The British Editorial Society of Bone & Joint Surgery.) |
| فهرسة مساهمة: | Keywords: Fever; Glenohumeral arthritis; Reverse arthroplasty; Shoulder arthroplasty; Temperature; Workup |
| تواريخ الأحداث: | Date Created: 20171103 Date Completed: 20171120 Latest Revision: 20171128 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1302/0301-620X.99B11.BJJ-2017-0469.R1 |
| PMID: | 29092992 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2049-4408 |
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| DOI: | 10.1302/0301-620X.99B11.BJJ-2017-0469.R1 |