caa a22 4500 605456453 CHVBK 20210128100218.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00167-014-3098-y doi (NATIONALLICENCE)springer-10.1007/s00167-014-3098-y Course of fever and potential infection after total joint replacement [Elektronische Daten] [Xin Lu, Jin Jin, Jin Lin, Wenwei Qian, Xisheng Weng] Purpose: The purpose of this study was to determine the relationship between fever, including different patterns of fever, and infection in patients who received total hip arthroplasty or knee arthroplasty (THA or TKA). Methods: Fever was defined as a core body temperature ≥38.0°C and was further categorized as being (1) consecutive fever (fever lasting three or more days) or (2) fever with body temperature ≥39°C. Medical records of patients who underwent total joint arthroplasty (TJA) between November 2009 and February 2012 were retrospectively examined, and those who underwent one primary TJA procedure were considered for inclusion. Results: A total of 980 patients (TKA=597, THA=383) were included. Overall, 48.2% of patients experienced fever, most commonly on postoperative day 1, and the maximum body temperature also most commonly occurred on postoperative day 1. Respiratory, urinary tract, periprosthetic, and any infections were significantly associated with consecutive fever (P<0.05), while respiratory and any infections were significantly associated with fever ≥39°C. Multivariate analysis revealed that patients who experienced infection had a significantly increased risk of postoperative fever (P=0.001). Conclusions: Consecutive fevers or fever ≥39°C after TJA may be indicative of postoperative infection, and testing to rule out infection should be performed. These results may assist in the differential diagnosis of postoperative fever after TJA and thus help to guide treatment. Level of evidence: III. Springer-Verlag Berlin Heidelberg, 2014 Postoperative fever nationallicence Arthroplasty nationallicence Knee nationallicence Hip nationallicence Infection nationallicence Lu Xin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut Jin Jin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut Lin Jin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut Qian Wenwei Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut Weng Xisheng Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/6(2015-06-01), 1870-1876 0942-2056 23:6<1870 2015 23 167 https://doi.org/10.1007/s00167-014-3098-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3098-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lu Xin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut NATIONALLICENCE 700 1- Jin Jin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut NATIONALLICENCE 700 1- Lin Jin Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut NATIONALLICENCE 700 1- Qian Wenwei Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut NATIONALLICENCE 700 1- Weng Xisheng Department of Orthopaedic Surgery, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Wang Fu Jing Street, 100730, Beijing, China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/6(2015-06-01), 1870-1876 0942-2056 23:6<1870 2015 23 167