TABLE 2.
Patient outcomes based on ED bursal aspiration and ED disposition among patients with olecranon bursitis for whom follow‐up was available
Characteristic | Patients a | |||||
---|---|---|---|---|---|---|
ED bursal aspiration (n = 3) | Admitted (n = 38) | Dismissed with antibiotics (n = 134) | Dismissed without antibiotics (n = 67) | All patients (N = 242) | p‐value d | |
Uncomplicated resolution | 2 (66) | 34 (89) | 118 (88) | 61 (91) | 215 (88.8) | 0.496 |
Subsequent interventions | ||||||
Subsequent hospitalization | 1 (25) | 0 (0) | 9 (7) | 2 (3) | 12 (5.0) | 0.053 |
Bursal surgery | 0 (0) | 0 (0) | 0 (0) | 1 (1) | 1 (0.4) | — |
Subsequent bursal aspiration | 0 (0) | 4 (10) | 8 (6) | 2 (3) | 14 (5.8) | 0.411 |
Incision and drainage | 0 (0) | 0 (0) | 0 (0) | 1 (1) | 1 (0.4) | 0.446 |
Non‐ED aspiration provider b | — | |||||
Primary care | 0 (0) | 0 (0) | 3 (38) | 2 (100) | 5 (36) | |
Rheumatology | 0 (0) | 0 (0) | 3 (38) | 0 (0) | 3 (21) | |
Orthopedics | 0 (0) | 3 (75) | 0 (0) | 0 (0) | 3 (21) | |
Other | 0 (0) | 1 (25) | 2 (25) | 0 (0) | 3 (21) | |
Bursitis‐related subsequent visits | 2 (67) | 31 (82) | 79 (59) | 26 (39) | 139 (57.8) | 0.002 |
Subsequent visits c | ||||||
Primary care | 1 (50) | 21 (66) | 49 (61) | 19 (73) | 90 (64.3) | |
Rheumatology | 0 (0) | 0 (0) | 0 (0) | 1 (4) | 1 (0.7) | |
Orthopedics | 0 (0) | 1 (3) | 3 (4) | 2 (8) | 6 (4.3) | |
Infectious disease | 0 (0) | 6 (19) | 1 (1) | 0 (0) | 7 (5.0) | |
ED | 1 (50) | 1 (3) | 23 (29) | 3 (12) | 28 (20) | |
Other or multiple | 0 (0) | 2 (6) | 3 (4) | 1 (4) | 6 (4.3) | |
Antibiotic complications | — | |||||
Allergic reaction | 0 (0) | 0 (0) | 1 (1) | 0 (0) | 1 (0.4) | |
Anaphylaxis | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | |
C. difficile colitis |
0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | |
Clinically significant diarrhea | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | |
Other | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Data are reported as n (%).
Unless otherwise noted.
Includes both outpatient and inpatient aspirations. Percentages are given relative to the number of follow‐up aspirations.
Percentages are given relative to the number of patients with bursitis‐related subsequent visits.
p‐values are from comparisons between the four disposition groups given in the table using Fisher's exact tests for categorical features.