Analysis of the Causes of Elevated C-Reactive Protein Level in the Early Postoperative Period After Primary Total Knee Arthroplasty
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Tae Won | - |
dc.contributor.author | Kim, Dong Hwan | - |
dc.contributor.author | Oh, Won Seuk | - |
dc.contributor.author | Sim, Jae Ang | - |
dc.contributor.author | Lee, Yong Seuk | - |
dc.contributor.author | Lee, Beom Koo | - |
dc.date.available | 2020-02-28T00:44:17Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2016-09 | - |
dc.identifier.issn | 0883-5403 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7932 | - |
dc.description.abstract | Background: Measurement of C-reactive protein (CRP) levels as a screening test for acute periprosthetic joint infection has high sensitivity and low specificity. We performed the present study to analyze the causes of elevated CRP levels in the early postoperative period after primary total knee arthroplasty (TKA). This study is intended to help the postoperative care of patients through understanding the factors associated with postoperative elevation of CRP. Methods: The records for 627 patients who underwent primary TKA between January 2005 and May 2013 were examined. We excluded 50 patients for whom TKA with inflammatory arthritis or revision TKA was performed. We measured serial CRP levels during the 4-week early postoperative period in all included cases to find the cases that showed a CRP pattern of elevation-depression-elevation (a bimodal pattern). We analyzed the causes of re-elevated CRP levels in patients with a bimodal pattern of CRP change. Results: Of the 577 included patients, 76 showed bimodal CRP elevation patterns. Eighteen elevations were caused by postoperative infections (periprosthetic infection), 10 by cardiovascular problems, 11 by gastrointestinal problems, 12 by urologic problems, 10 by respiratory problems, and 15 had unknown origins. Conclusion: Our study shows that elevated CRP levels after TKA can have various causes. Although there may be other causes for an elevated CRP, it is essential to perform a work-up for prosthetic joint infections. In addition, there seems to be a need to evaluate noninfectious causes and infection of other sites, in addition to periprosthetic infection. (C) 2016 Elsevier Inc. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS | - |
dc.relation.isPartOf | JOURNAL OF ARTHROPLASTY | - |
dc.subject | PERIPROSTHETIC JOINT INFECTION | - |
dc.subject | DEEP-VEIN THROMBOSIS | - |
dc.subject | TOTAL HIP | - |
dc.subject | INFLAMMATION | - |
dc.title | Analysis of the Causes of Elevated C-Reactive Protein Level in the Early Postoperative Period After Primary Total Knee Arthroplasty | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000382211200025 | - |
dc.identifier.doi | 10.1016/j.arth.2016.02.037 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ARTHROPLASTY, v.31, no.9, pp.1990 - 1996 | - |
dc.identifier.scopusid | 2-s2.0-84962535167 | - |
dc.citation.endPage | 1996 | - |
dc.citation.startPage | 1990 | - |
dc.citation.title | JOURNAL OF ARTHROPLASTY | - |
dc.citation.volume | 31 | - |
dc.citation.number | 9 | - |
dc.contributor.affiliatedAuthor | Kim, Tae Won | - |
dc.contributor.affiliatedAuthor | Kim, Dong Hwan | - |
dc.contributor.affiliatedAuthor | Oh, Won Seuk | - |
dc.contributor.affiliatedAuthor | Sim, Jae Ang | - |
dc.contributor.affiliatedAuthor | Lee, Beom Koo | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | total knee arthroplasty | - |
dc.subject.keywordAuthor | C-reactive protein | - |
dc.subject.keywordAuthor | periprosthetic infection | - |
dc.subject.keywordAuthor | early postoperative period | - |
dc.subject.keywordAuthor | bimodal pattern | - |
dc.subject.keywordPlus | PERIPROSTHETIC JOINT INFECTION | - |
dc.subject.keywordPlus | DEEP-VEIN THROMBOSIS | - |
dc.subject.keywordPlus | TOTAL HIP | - |
dc.subject.keywordPlus | INFLAMMATION | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.