Rüther Johannes, Taubert Lars, Loose Kim, Willauschus Maximilian, Silawal Sandeep, Millrose Michael, Bail Hermann Josef, Geßlein Markus
Department of Orthopedics and Traumatology, Paracelsus Medical University, General Hospital Nuremberg, Breslauer Straße 201, 90471 Nuremberg, Germany.
Institute of Anatomy and Cell Biology, Paracelsus Medical University, General Hospital Nuremberg, Prof. Ernst Nathan Str. 1, 90419 Nuremberg, Germany.
J Pers Med. 2023 Jun 22;13(7):1030. doi: 10.3390/jpm13071030.
Septic arthritis of the shoulder is an urgent medical emergency that often occurs in elderly patients and is associated with high morbidity and mortality. Retrospectively, 56 patients aged ≥60 years, treated for primary septic monoarthritis of the shoulder at a maximum care hospital between 1 July 2001, and 30 July 2022, were included in this study. The primary aim of the study was analyzing survival rates and different bacteria in these patients. For statistical analysis, Kaplan-Meier curves were used for survival probability and the log-rank test was used to compare a survival probability of 5 years. The mean patient age was 78.7 years and a mean follow-up time of 3011.8 days. The mean survival of the entire study population was 920.3 days or 2.5 years. Significantly impaired 5-year survival was found only with increasing age and higher American Society of Anesthesiologists (ASA) physical status (PS) classification scores. Eight different types of bacteria were detected in the synovial fluid cultures. A total of 42 of 48 overall pathogens was Gram-positive and 6 were Gram-negative bacteria. was identified as the most frequent variant. We conclude that the mean survival is significantly shortened within the first 5 years with increasing age and ASA PS classification.
肩部化脓性关节炎是一种紧急医疗急症，常发生于老年患者，且与高发病率和死亡率相关。本研究回顾性纳入了2001年7月1日至2022年7月30日期间在一家特级护理医院接受原发性肩部化脓性单关节炎治疗的56例年龄≥60岁的患者。该研究的主要目的是分析这些患者的生存率和不同的细菌。在统计分析中，采用Kaplan-Meier曲线计算生存概率，并使用对数秩检验比较5年的生存概率。患者的平均年龄为78.7岁，平均随访时间为3011.8天。整个研究人群的平均生存期为920.3天或2.5年。仅发现随着年龄增长和美国麻醉医师协会（ASA）身体状况（PS）分类评分升高，5年生存率显著受损。在滑膜液培养中检测到8种不同类型的细菌。在总共48种病原体中，有42种为革兰氏阳性菌，6种为革兰氏阴性菌。 被确定为最常见的变体。我们得出结论，随着年龄增长和ASA PS分类升高，平均生存期在前5年内显著缩短。
