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Evaluation of fever in the immediate post-operative period following shoulder arthroplasty.
Saltzman, B M; Mayo, B C; Bohl, D D; Frank, R M; Cole, B J; Verma, N N; Nicholson, G P; Romeo, A A.
Afiliação
  • 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.
Bone Joint J ; 99-B(11): 1515-1519, 2017 Nov.
Article em En | MEDLINE | ID: mdl-29092992
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Febre / Artroplastia do Ombro Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Febre / Artroplastia do Ombro Idioma: En Ano de publicação: 2017 Tipo de documento: Article