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Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years

Septic arthritis of the shoulder is an urgent medical emergency that often occurs in elderly patients and is associated with high morbidity and mortality. Retrospectively, 56 patients aged ≥60 years, treated for primary septic monoarthritis of the shoulder at a maximum care hospital between 1 July 2...

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Autores principales: Rüther, Johannes, Taubert, Lars, Loose, Kim, Willauschus, Maximilian, Silawal, Sandeep, Millrose, Michael, Bail, Hermann Josef, Geßlein, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381718/
https://www.ncbi.nlm.nih.gov/pubmed/37511643
http://dx.doi.org/10.3390/jpm13071030
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author Rüther, Johannes
Taubert, Lars
Loose, Kim
Willauschus, Maximilian
Silawal, Sandeep
Millrose, Michael
Bail, Hermann Josef
Geßlein, Markus
author_facet Rüther, Johannes
Taubert, Lars
Loose, Kim
Willauschus, Maximilian
Silawal, Sandeep
Millrose, Michael
Bail, Hermann Josef
Geßlein, Markus
author_sort Rüther, Johannes
collection PubMed
description Septic arthritis of the shoulder is an urgent medical emergency that often occurs in elderly patients and is associated with high morbidity and mortality. Retrospectively, 56 patients aged ≥60 years, treated for primary septic monoarthritis of the shoulder at a maximum care hospital between 1 July 2001, and 30 July 2022, were included in this study. The primary aim of the study was analyzing survival rates and different bacteria in these patients. For statistical analysis, Kaplan–Meier curves were used for survival probability and the log-rank test was used to compare a survival probability of 5 years. The mean patient age was 78.7 years and a mean follow-up time of 3011.8 days. The mean survival of the entire study population was 920.3 days or 2.5 years. Significantly impaired 5-year survival was found only with increasing age and higher American Society of Anesthesiologists (ASA) physical status (PS) classification scores. Eight different types of bacteria were detected in the synovial fluid cultures. A total of 42 of 48 overall pathogens was Gram-positive and 6 were Gram-negative bacteria. Staphylococcus aureus was identified as the most frequent variant. We conclude that the mean survival is significantly shortened within the first 5 years with increasing age and ASA PS classification.
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spelling pubmed-103817182023-07-29 Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years Rüther, Johannes Taubert, Lars Loose, Kim Willauschus, Maximilian Silawal, Sandeep Millrose, Michael Bail, Hermann Josef Geßlein, Markus J Pers Med Article Septic arthritis of the shoulder is an urgent medical emergency that often occurs in elderly patients and is associated with high morbidity and mortality. Retrospectively, 56 patients aged ≥60 years, treated for primary septic monoarthritis of the shoulder at a maximum care hospital between 1 July 2001, and 30 July 2022, were included in this study. The primary aim of the study was analyzing survival rates and different bacteria in these patients. For statistical analysis, Kaplan–Meier curves were used for survival probability and the log-rank test was used to compare a survival probability of 5 years. The mean patient age was 78.7 years and a mean follow-up time of 3011.8 days. The mean survival of the entire study population was 920.3 days or 2.5 years. Significantly impaired 5-year survival was found only with increasing age and higher American Society of Anesthesiologists (ASA) physical status (PS) classification scores. Eight different types of bacteria were detected in the synovial fluid cultures. A total of 42 of 48 overall pathogens was Gram-positive and 6 were Gram-negative bacteria. Staphylococcus aureus was identified as the most frequent variant. We conclude that the mean survival is significantly shortened within the first 5 years with increasing age and ASA PS classification. MDPI 2023-06-22 /pmc/articles/PMC10381718/ /pubmed/37511643 http://dx.doi.org/10.3390/jpm13071030 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rüther, Johannes
Taubert, Lars
Loose, Kim
Willauschus, Maximilian
Silawal, Sandeep
Millrose, Michael
Bail, Hermann Josef
Geßlein, Markus
Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title_full Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title_fullStr Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title_full_unstemmed Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title_short Mid- to Long-Term Survival of Geriatric Patients with Primary Septic Arthritis of the Shoulder: A Retrospective Study over a Period of 20 Years
title_sort mid- to long-term survival of geriatric patients with primary septic arthritis of the shoulder: a retrospective study over a period of 20 years
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381718/
https://www.ncbi.nlm.nih.gov/pubmed/37511643
http://dx.doi.org/10.3390/jpm13071030
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