Consequences of Delaying Surgical Intervention in Patients With Native Joint Septic Arthritis.

ABSTRACT:

Background

Although recent guidance recommends early surgical debridement for native joint septic arthritis (NJSA), supporting data, particularly on long-term outcomes, remains scarce.

Methods

We conducted a retrospective multicenter cohort study of adults (≥18 years) with NJSA who underwent surgery across Mayo Clinic campuses between 2012 and 2021. Clinical outcomes at 1 year were assessed using a 9-level Desirability of Outcome Ranking (DOOR) scale, incorporating survival, treatment failure (relapse, reinfection, readmission, or significant surgical events), and joint recovery. Time to surgery from hospital admission was analyzed both as a continuous variable and as categories: < 1, 1-2, or ≥3 days.

Results

Among 268 patients, 30% underwent surgery <1 day from admis

SUBMITTER: Matsuo T 

PROVIDER: S-EPMC12605720 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature