{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:17:06Z","timestamp":1786976226300,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T00:00:00Z","timestamp":1516233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011531","name":"University of Alabama","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011531","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2018,2]]},"abstract":"\n Objective<\/jats:title>\n \n To assess the health care utilization and emergency department (\n ED<\/jats:styled-content>\n ) charges for septic arthritis.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We performed a retrospective cohort study of\n ED<\/jats:styled-content>\n visits with septic arthritis as the primary diagnosis using the\n US<\/jats:styled-content>\n Nationwide Emergency Department Sample data from 2009\u20132012. We examined\n ED<\/jats:styled-content>\n charges, hospitalization, and associated time trends. Multivariable models were adjusted for demographics (age, sex, insurance status, residence, and household income), comorbidity, and hospital characteristics to assess factors associated with\n ED<\/jats:styled-content>\n charges and hospitalization.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Septic arthritis was responsible for 16,382\n ED<\/jats:styled-content>\n visits in 2012 in the\n US<\/jats:styled-content>\n , which constituted 0.01% of all\n ED<\/jats:styled-content>\n visits. The number of\n ED<\/jats:styled-content>\n visits was stable from 2009\u20132012. Total\n ED<\/jats:styled-content>\n charges were $34.6, $30.6, and $36.9 million in 2009, 2010, and 2012, respectively, and mean\n ED<\/jats:styled-content>\n charges were $2,149, $1,866, and $2,257, respectively. The majority of the patients with an\n ED<\/jats:styled-content>\n visit for septic arthritis were hospitalized: 82%, 83%, and 84% in 2009, 2010, and 2012, respectively. Metropolitan residence and western\n US<\/jats:styled-content>\n location were associated with higher\n ED<\/jats:styled-content>\n charges, and the highest income quartile, renal failure, or osteoarthritis were associated with lower\n ED<\/jats:styled-content>\n charges. Female sex, metropolitan residence, metropolitan teaching hospital status, and medical comorbidity (diabetes mellitus, hyperlipidemia, hypertension, chronic obstructive pulmonary disease, coronary heart disease, gout, osteoarthritis, renal failure, and heart failure) were associated with a higher risk of hospitalization.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Comorbidities were associated with a higher risk of hospitalization after an\n ED<\/jats:styled-content>\n visit for septic arthritis, but not higher\n ED<\/jats:styled-content>\n charges. No time trends in\n ED<\/jats:styled-content>\n visit incidence,\n ED<\/jats:styled-content>\n charges, or hospitalization rate for septic arthritis from 2009\u20132012 were noted.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/acr.23270","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T13:42:04Z","timestamp":1493732524000},"page":"320-326","source":"Crossref","is-referenced-by-count":36,"title":["Septic Arthritis in Emergency Departments in the\n US<\/scp>\n : A National Study of Health Care Utilization and Time Trends"],"prefix":"10.1002","volume":"70","author":[{"given":"Jasvinder A.","family":"Singh","sequence":"first","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham and School of Public Health University of Alabama at Birmingham, and Mayo Clinic College of Medicine Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaohua","family":"Yu","sequence":"additional","affiliation":[{"name":"School of Public Health University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61595-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e3283036975"},{"key":"e_1_2_6_4_1","first-page":"440","article-title":"Management of septic arthritis: a systematic review","volume":"66","author":"Mathews CJ","year":"2007","journal-title":"Ann Rheum Dis"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.150434"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2013.04.010"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780381215"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.152769"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kew323"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_2_6_11_1","unstructured":"Healthcare Cost and Utilization Project.Healthcare cost and utilization project (HCUP): introduction to the HCUP nationwide emergency department sample (NEDS) 2009. URL:https:\/\/www.hcup-us.ahrq.gov\/db\/nation\/neds\/NEDS_Introduction_2009.jsp."},{"key":"e_1_2_6_12_1","unstructured":"Healthcare Cost and Utilization Project.Healthcare cost and utilization project (HCUP): introduction to the HCUP nationwide emergency department sample (NEDS) 2012. URL:https:\/\/www.hcup-us.ahrq.gov\/db\/nation\/neds\/NEDS_Introduction_2012.jsp."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.07.011"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.21807"},{"key":"e_1_2_6_15_1","unstructured":"US inflation calculator.Current US inflation rates 2006\u20132017. 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