Increased Mortality and Reoperation Rates After Treatment for Septic Arthritis of the Knee in People Who Inject Drugs: Nationwide Inpatient Sample, 2000-2013

Clinical Orthopaedics and Related Research
David Hyung Won OhMatthew Joseph Salzler

Abstract

The United States has a growing opioid epidemic impacting all aspects of health care including orthopaedic surgery. Septic arthritis of the knee is a condition commonly encountered by orthopaedic surgeons related to opioid and injection drug use (IDU). Changes in the frequency of hospitalizations for IDU-related septic arthritis and differences in septic arthritis patient outcomes according to IDU status in the setting of the burgeoning opioid epidemic are unknown. (1) What proportion of patients with septic arthritis of the knee use injection drugs? (2) Are there any differences in complications, reoperations, length of stay, and leaving against medical advice among patients with septic arthritis of the knee with and without IDU? (3) What are the age and racial trends in IDU-related septic arthritis of the knee from 2000 to 2013? The Healthcare Cost and Utilization Project, Nationwide Inpatient Sample database of years 2000 to 2013 was utilized for patients between ages 15 and 64 years with a principal discharge diagnosis of native septic arthritis of the lower leg, the vast majority of which represents the knee. The Nationwide Inpatient Sample is the largest publicly available healthcare database in the United States that can...Continue Reading

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Oct 8, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Sandra A Springer
Nov 5, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David Andes
Aug 13, 2020·Infectious Disease Clinics of North America·Carlos S SaldanaAlysse G Wurcel
Jun 17, 2021·The Journal of Arthroplasty·Mitchell K NgMichael A Mont
Sep 7, 2021·Journal of Pediatric Orthopedics·David CleverScott J Luhmann

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