+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Incidence of acute postoperative infections requiring reoperation after arthroscopic shoulder surgery



Incidence of acute postoperative infections requiring reoperation after arthroscopic shoulder surgery



American Journal of Sports Medicine 42(2): 437-441



An acute infection after arthroscopic shoulder surgery is a rare but serious complication. Previous studies estimating the incidence of infections after arthroscopic surgery have been conducted, but the majority of these had either relatively small study groups or were not specific to shoulder arthroscopic surgery. To investigate the incidence of acute infections after arthroscopic shoulder surgery and compare infection rates by age group, sex, geographic region, and specific procedures. Case series; Level of evidence, 4. A retrospective review of a large insurance company database was performed for all shoulder arthroscopic surgeries performed in the United States between 2004 and 2009 that required additional surgery for infections within 30 days. The data were stratified by sex, age group, and region. Data were also stratified for specific procedures (capsulorrhaphy, treatment for superior labrum anterior-posterior tears, claviculectomy, decompression, and rotator cuff repair) and used to assess the variation in the incidence of infections across different arthroscopic shoulder procedures. Linear regression was used to determine the significance of differences in the data from year to year. χ(2) analysis was used to assess the statistical significance of variations among all groups. Poisson regression analysis with exposure was used to determine significant differences in a pairwise comparison between 2 groups. The total number of arthroscopic shoulder surgeries performed was 165,820, and the number of infections requiring additional surgery was 450, resulting in an overall infection rate of 0.27%. The incidence of infections varied significantly across age groups (P < .001); the infection rate was highest in the ≥60-year age group (0.36%) and lowest in the 10- to 39-year age group (0.18%). The incidence of infections also varied by region (P < .001); the incidence was highest in the South (0.37%) and lowest in the Midwest (0.11%). The incidence of infection treatments was also significantly different between different arthroscopic procedures (P < .01) and was highest for rotator cuff repair (0.29%) and lowest for capsulorrhaphy (0.16%). The incidence did not significantly vary by year or sex. The overall infection rate for all arthroscopic shoulder procedures was 0.27%. The incidence was highest in elderly patients, in the South, and for rotator cuff repair. The incidence was lowest in young patients, in the Midwest, and for capsulorrhaphy. In general, shoulder arthroscopic surgery in this study population had a low rate of reoperation in the acute period.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053790134

Download citation: RISBibTeXText

PMID: 24296963

DOI: 10.1177/0363546513510686


Related references

Incidence of postoperative infections requiring reoperation after arthroscopic knee surgery. Arthroscopy 29(8): 1355-1361, 2014

Incidence and Risk Factors of Postoperative Hematoma Requiring Reoperation in Single Level Lumbar Fusion Surgery. Spine (): -, 2016

Immediate-release tapentadol or oxycodone for treatment of acute postoperative pain after elective arthroscopic shoulder surgery: a randomized, phase IIIb study. Journal of Opioid Management 9(4): 281-290, 2014

The incidence of reoperation after temporomandibular joint arthroscopic surgery: A retrospective study of 450 consecutive joints. Oral Surgery Oral Medicine Oral Pathology Oral Radiology & Endodontics 93(4): 408-411, April, 2002

Acupuncture for postoperative pain in day surgery patients undergoing arthroscopic shoulder surgery. Clinical Nursing Research 22(1): 130-136, 2013

Is intra-articular magnesium effective for postoperative analgesia in arthroscopic shoulder surgery?. Pain Research & Management 20(1): 35-38, 2016

Single-dose gabapentin does not augment postoperative analgesia in ambulatory arthroscopic shoulder surgery. Anesthesia and Analgesia 105(1): 280-1; Author Reply 281, 2007

A comparison of three methods for postoperative pain control in patients undergoing arthroscopic shoulder surgery. Korean Journal of Pain 28(1): 45-51, 2015

Postoperative fentanyl patch versus subacromial bupivacaine infusion in arthroscopic shoulder surgery. Arthroscopy 29(7): 1129-1134, 2013

Suprascapular nerve block for postoperative pain relief in arthroscopic shoulder surgery: a new modality?. Anesthesia and Analgesia 84(6): 1306-1312, 1997

Innovations in arthroscopic surgery of the shoulder: advances in arthroscopic shoulder stabilization. Arthroscopy 19 Suppl 1: 106-108, 2003

The Effect of Intra-Articular Morphine and Ketorolac on Postoperative Analgesia in Patients Undergoing Arthroscopic Shoulder Surgery. Anesthesiology Abstracts of Scientific Papers Annual Meeting ( ): Abstract No A-14, 2003

Continuous intralesional infusion combined with interscalene block was effective for postoperative analgesia after arthroscopic shoulder surgery. Journal of Shoulder and Elbow Surgery 16(3): 295-299, 2007

The effect of adding dexmedetomidine to levobupivacaine for interscalene block for postoperative pain management after arthroscopic shoulder surgery. Clinical Journal of Pain 30(12): 1057-1061, 2015