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- Talk
- USA
Who Will Need a Second Surgery? A Study of Cases of Isolated Septic Arthitis from the CORTICES Database
Description
In this comprehensive presentation, Benjamin Shore addresses an audience enthusiastically, expressing appreciation for the opportunity to connect in person after a long hiatus. The focus of the talk is on septic arthritis in pediatric patients, highlighting its significance as a frequent reason for orthopedic consultations in emergency settings. Shore discusses the challenges in timely diagnosis and the labor-intensive workup associated with this condition. He emphasizes the critical nature of deciding on surgical interventions, particularly the complexities surrounding repeat debridement surgeries, which are subjective and can greatly affect patient outcomes.
The purpose of the study presented is to identify predictive factors that may indicate the need for multiple surgeries in managing isolated pediatric septic arthritis. This research, a collaboration of 18 centers under the Children's Orthopedic Trauma Infection Consortium (CORTICES), involves a retrospective cohort study analyzing data from patients aged 0-18 diagnosed with septic arthritis. Shore shares that the study collected various clinical variables, including admission temperature and laboratory results, to identify significant predictors of surgical intervention needs.
With a cohort of 454 pediatric patients, analysis reveals that about 10% required secondary surgeries. Key statistical findings show significant correlations between high CRP levels, low platelet counts, and the necessity for additional surgical procedures. Specifically, Shore notes that every 10-unit increase in CRP raised the chance of needing another surgery by 0.1%, while every increment in platelet count decreased that need by 0.3%. He concludes by reaffirming that higher CRP values reflect a more severe disease state, thus necessitating greater attention alongside lower platelet counts when assessing patients upon arrival at treatment facilities. Overall, the findings aim to improve clinical decision-making and patient outcomes in pediatric septic arthritis management.