Incidence, temporal trends and potential risk factors for prosthetic joint infection after primary total shoulder and elbow replacement: Systematic review and meta-analysis
| Autor: | Setor K Kunutsor, Michael R Whitehouse, Ashley W Blom, Andrew D Beswick, Richard Craig, Erik Lenguerrand, Matthew C. Barrett |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Microbiology (medical) Shoulder medicine.medical_specialty Prosthesis-Related Infections Shoulder surgery medicine.medical_treatment 030106 microbiology Elbow MEDLINE Cochrane Library 03 medical and health sciences temporal trends 0302 clinical medicine Risk Factors Internal medicine medicine Humans 030212 general & internal medicine prosthetic joint infection Risk factor Aged business.industry Incidence Incidence (epidemiology) total elbow replacement meta-analysis Infectious Diseases medicine.anatomical_structure risk factor total shoulder replacement Meta-analysis Relative risk incidence business human activities |
| Zdroj: | Kunutsor, S K, Barrett, M C, Whitehouse, M R, Craig, R S, Lenguerrand, E, Beswick, A D & Blom, A W 2020, ' Incidence, temporal trends and potential risk factors for prosthetic joint infection after primary total shoulder and elbow replacement : Systematic review and meta-analysis ', Journal of Infection, vol. 80, no. 4, pp. 426-436 . https://doi.org/10.1016/j.jinf.2020.01.008 |
| ISSN: | 0163-4453 |
| DOI: | 10.1016/j.jinf.2020.01.008 |
| Popis: | OBJECTIVES: We conducted a systematic meta-analysis to evaluate the incidence, temporal trends and potential risk factors for prosthetic joint infection (PJI) following primary total shoulder replacement (TSR) and elbow replacement (TER).METHODS: Longitudinal studies reporting infection outcomes following primary TSR or TER were sought from MEDLINE, Embase and Cochrane Library up to June 2019. Incidence rates and relative risks (with 95% CIs) were calculated.RESULTS: The search identified 105 eligible articles (108 non-overlapping studies). There were 631,854 TSRs (1,751 PJIs) and 17,485 TERs (525 PJIs). The pooled PJI incidence following TSR was 0.61% (0.34-0.93) over a follow-up period of 1.1 years. The corresponding incidence following TER was 2.53% (1.99-3.12) over a follow-up period of 3.3 years. Shoulder and elbow PJI incidence declined from the 1990s to 2010 and beyond. Males, younger age (CONCLUSIONS: Shoulder and elbow PJI may be on a temporal decline. Caution should be taken for patients at high PJI risk following primary TSR such as younger males and patients with a previous shoulder surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect