Diagnostic Arthrocentesis for Suspicion of Gout Is Safe and Well Tolerated

William J Taylor, Jaap Fransen, Nicola Dalbeth, Tuhina Neogi, H. Ralph Schumacher, Melanie Brown, Worawit Louthrenoo, Janitzia Vazquez-Mellado, Maxim Eliseev, Geraldine McCarthy, Lisa K Stamp, Fernando Perez-Ruiz, Francisca Sivera, Hang Korng Ea, Martijn Gerritsen, Lorenzo Cavagna, Chingtsai Lin, Yin Yi Chou, Anne Kathrin Tausche, Geraldo Da rocha castelar pinheiroMatthijs Janssen, Jiunn Horng Chen, Ole Slot, Marco A. Cimmino, Till Uhlig, Tim L. Jansen

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine the frequency of adverse events of diagnostic arthrocentesis in patients with possible gout.

METHODS: Consecutive patients underwent arthrocentesis and were evaluated at 6 weeks to determine adverse events. The 95% CI were obtained by bootstrapping.

RESULTS: Arthrocentesis was performed in 910 patients, and 887 (97.5%) were evaluated for adverse events. Any adverse event was observed in 12 participants (1.4%, 95% CI 0.6-2.1). There was 1 case (0.1%, 95% CI 0-0.34) of septic arthritis.

CONCLUSIONS: Diagnostic arthrocentesis is associated with a low frequency of adverse events. Septic arthritis rarely occurs.

Original languageEnglish
Pages (from-to)150-3
Number of pages4
JournalJournal of Rheumatology
Volume43
Issue number1
DOIs
Publication statusPublished - Jan 2016

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Keywords

  • Adult
  • Age Distribution
  • Aged
  • Arthritis, Gouty
  • Arthrocentesis
  • Chi-Square Distribution
  • Cohort Studies
  • Confidence Intervals
  • Female
  • Follow-Up Studies
  • Gout
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • New Zealand
  • Patient Safety
  • Poisson Distribution
  • Risk Assessment
  • Severity of Illness Index
  • Sex Distribution
  • Journal Article
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

Cite this

Taylor, W. J., Fransen, J., Dalbeth, N., Neogi, T., Ralph Schumacher, H., Brown, M., Louthrenoo, W., Vazquez-Mellado, J., Eliseev, M., McCarthy, G., Stamp, L. K., Perez-Ruiz, F., Sivera, F., Ea, H. K., Gerritsen, M., Cavagna, L., Lin, C., Chou, Y. Y., Tausche, A. K., ... Jansen, T. L. (2016). Diagnostic Arthrocentesis for Suspicion of Gout Is Safe and Well Tolerated. Journal of Rheumatology, 43(1), 150-3. https://doi.org/10.3899/jrheum.150684