Saturday, May 3, 2014

Perioperative complications after shoulder arthroplasty are related to patient comorbidities

Perioperative complications after hemiarthroplasty and total shoulder arthroplasty are equivalent.

These authors studied the National Surgical Quality Improvement Program database for shoulder arthroplasty cases from the years 2005 through 2010. Major complications were defined as life-threatening or debilitating. All complications occurred within 30 days of the initial procedure.

They found  523 hemiarthroplasties and 1195 total shoulders.  The major complication rates were 5% for both types of arthroplasty. 

The factors associated with complications were emergency case, pulmonary comorbidity, anemia with a hematocrit level lower than 36%, and wound class of III or IV.

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