Comparison study of patient demographics and patient-related risk factors for peri-prosthetic joint infections following primary total shoulder arthroplasty

Diamond, Keith B.; Golub, Ivan J; Ashraf, Asad; Swiggett, Samuel J.; Romeo, Paul; Choueka, Jack

doi:10.1053/j.sart.2021.06.003

Cited by 5 publications

(12 citation statements)

References 52 publications

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“…Sex was mentioned in all included literature. In the included studies, male sex was reported as a significant risk factor in four articles, and this finding was consistent with the results of the meta-analysis [ 21 , 24 , 26 , 27 ]. For BMI, a patient’s high BMI is associated with infection [ 32 ].…”

Section: Discussionsupporting

confidence: 86%

“…Among the six studies that reported on BMI, three studies [ 21 , 24 , 25 ] provided detailed data for analysis. We use the international scale for BMI, which defined obesity as BMI ≥ 30 kg/m 2 .…”

Section: Resultsmentioning

confidence: 99%

“…One study [ 22 ] included aTSA and rTSA only, and another study [ 30 ] included aTSA and HA only. Four studies [ 21 , 23 , 25 , 29 ] were recorded for only one type of operation. In the remaining three studies [ 27 , 28 , 30 ], there was no detailed description of whether TSA was anatomical or reversed.…”

Section: Resultsmentioning

confidence: 99%

“…Figure 4 shows the forest plots, pooled OR, 95% CI, and heterogeneity for comorbidities with statistically significant results. DM was reported in 6 of 10 studies [ 21 , 23 , 24 , 27 , 29 , 30 ]. Our statistical analysis evaluated DM to be a risk factor for PJI after shoulder arthroplasty (pooled OR = 1.32; 95% CI = 1.04, 1.68; I 2 = 0%).…”

Section: Resultsmentioning

confidence: 99%

“…Diamond et al Ref. [ 21 ] suggested that obesity, malnutrition, and pathologic weight loss are risk factors. The results of the existing literature are contrary to the results of the analysis.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Periprosthetic Joint Infection after Shoulder Arthroplasty: Systematic Review and Meta-Analysis

Seok

Park

2022

JCM

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Periprosthetic joint infection (PJI) after shoulder arthroplasty is a devastating complication that requires several additional surgeries. The purpose of this study was to assess the evidence regarding risk factors for PJI and identify those that contribute to infection by performing a meta-analysis. We searched the PubMed, Embase, and Cochrane Library databases for studies that assessed the risk factors for infection after shoulder arthroplasty. After performing screening and quality assessment on the articles, we obtained two case-control studies and six retrospective cohort studies (total of 420 infected cases and 28,464 controls). Review Manager 5.4 was used to assess the heterogeneity and odds ratio for 20 different factors that broadly included demographic factors, perioperative factors, and comorbidities. Factors that are markedly associated with PJI after shoulder arthroplasty were male sex, operation history, revision arthroplasty, acute trauma, and non-osteoarthritis as a preoperative diagnosis. Statistical analysis revealed that diabetes mellitus, liver disease, alcohol overuse, iron-deficiency anemia, and rheumatoid arthritis were risk factors for PJI after shoulder arthroplasty. The result of analysis shows that several specific factors can be targeted to prevent infections after shoulder arthroplasty. Surgeons should consider the risk factors and perform the appropriate management for patients.

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