Impact of preoperative urinary tract infection on postoperative outcomes following total shoulder arthroplasty for osteoarthritis.

Autor:	Agarwal AR; Department of Orthopedic Surgery, George Washington Hospital, Washington, DC, USA., Cuero KJ; Department of Orthopedic Surgery, George Washington Hospital, Washington, DC, USA., Stadecker M; Department of Orthopedic Surgery, George Washington Hospital, Washington, DC, USA., Meshram P; Department of Orthopaedic Surgery, Adult Reconstruction Division, Johns Hopkins University, Columbia, MD, USA., Sharma S; Department of Orthopaedic Surgery, Adult Reconstruction Division, Johns Hopkins University, Columbia, MD, USA., Zimmer ZR; Department of Orthopedic Surgery, George Washington Hospital, Washington, DC, USA., Best MJ; Department of Orthopaedic Surgery, Adult Reconstruction Division, Johns Hopkins University, Columbia, MD, USA.
Jazyk:	angličtina
Zdroj:	Shoulder & elbow [Shoulder Elbow] 2023 Sep; Vol. 15 (1 Suppl), pp. 100-110. Date of Electronic Publication: 2022 Sep 18.
DOI:	10.1177/17585732221127590
Abstrakt:	Introduction: As the utilization of total shoulder arthroplasty (TSA) increases, it is essential to identify risk factors associated with postoperative complications. Urinary tract infection (UTI) is one such example. Our objective is to identify whether UTI is associated with increased rates of prosthetic joint infection (PJI) and determine whether its treatment reduces PJI rates. Methods: Patients who underwent primary TSA for glenohumeral osteoarthritis between 2010 and 2019 with minimum two-year follow-up were identified in a national database (PearlDiver Technologies) using Current Procedural Terminology and International Classification of Diseases codes. These patients were stratified into two cohorts: those with preoperative UTI within two weeks of TSA and those without. The preoperative UTI cohort was stratified into those treated and those untreated prior to TSA. Univariate and multivariable analyses were performed. Results: Following multivariable analysis, there were significantly higher odds of postoperative anemia, pulmonary embolism, and death in the UTI cohort. Comparing treated to untreated UTI, there were no significant differences in multivariable analysis for any 90-day medical or two-year surgical complications. Discussion: This study showed that UTI was not associated with increased rates of PJI. UTI was, however, associated with postoperative medical complications that surgeons should be aware of. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.)
Databáze:	MEDLINE
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