Risk factors associated with periprosthetic joint infection after total elbow arthroplasty

Jeremy S. Somerson, Matthew R. Boylan, Kevin T. Hug, Qais Naziri, Carl B. Paulino, Jerry I. Huang

Research output: Contribution to journalArticle

Abstract

Background: For patients undergoing total elbow arthroplasty (TEA), the present study aimed to investigate: (i) what risk factors are associated with periprosthetic elbow infection; (ii) what is the incidence of infection after TEA; and (iii) what is the acuity with which these infections present? Methods: The Statewide Planning and Research Cooperative System database was used to identify all patients who underwent TEA between 2003 and 2012 in New York State. Admissions for prosthetic joint infection (PJI) were identified using ICD-9 (International Classification of Diseases, Ninth Revision, Clinical Modification) diagnosis code 996.66. Multivariate analysis was used to determine risk factors that were independently prognostic for PJI. Results: Significant risk factors for PJI included hypothyroidism [odds ratio (OR) = 2.04; p = 0.045], tobacco use disorder (OR = 3.39; p = 0.003) and rheumatoid arthritis (OR = 3.31; p < 0.001). Among the 1452 patients in the study period who underwent TEA, 3.7% (n = 54) were admitted postoperatively for PJI. There were 30 (56%) early infections, 17 (31%) delayed infections and seven (13%) late infections. Conclusions: Pre-operative optimization of thyroid function, smoking cessation and management of rheumatoid disease may be considered in surgical candidates for TEA. The results of the present study add prognostic data to the literature that may be helpful with patient selection and risk profile analysis. Level of evidence: Level III: prognostic study.

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
JournalShoulder and Elbow
Volume11
Issue number2
DOIs
StatePublished - Apr 1 2019

Fingerprint

Elbow
Arthroplasty
Joints
Infection
Odds Ratio
International Classification of Diseases
Tobacco Use Disorder
Smoking Cessation
Disease Management
Hypothyroidism
Patient Selection
Rheumatoid Arthritis
Thyroid Gland
Multivariate Analysis
Databases
Incidence

Keywords

  • arthroplasty
  • elbow
  • hypothyroidism
  • infection
  • rheumatoid arthritis
  • smoking

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery
  • Rehabilitation

Cite this

Risk factors associated with periprosthetic joint infection after total elbow arthroplasty. / Somerson, Jeremy S.; Boylan, Matthew R.; Hug, Kevin T.; Naziri, Qais; Paulino, Carl B.; Huang, Jerry I.

In: Shoulder and Elbow, Vol. 11, No. 2, 01.04.2019, p. 116-120.

Research output: Contribution to journalArticle

Somerson, Jeremy S. ; Boylan, Matthew R. ; Hug, Kevin T. ; Naziri, Qais ; Paulino, Carl B. ; Huang, Jerry I. / Risk factors associated with periprosthetic joint infection after total elbow arthroplasty. In: Shoulder and Elbow. 2019 ; Vol. 11, No. 2. pp. 116-120.
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