These authors evaluated the national trends in shoulder arthroplasty utilization and compared national perioperative complication rates for hemiarthroplasty (HA), total shoulder arthroplasty (TSA), and RTSA in a matched cohort. They used the National Inpatient Sample from 2011-2013 to identify patients who underwent HA, TSA, or RTSA. Age, sex, race, insurance type, Elixhauser comorbidity index, and perioperative complications were identified. They used a coarsened exact matching algorithm to match RTSA patients with TSA and HA patients to compare medical and implant-related perioperative in-hospital complications.
Overall, 42,832 shoulder arthroplasties were identified (44% TSAs, 34% RTSAs, 19% HAs). After matching, RTSAs had 6.2 times the odds of a perioperative implant-related complication (P < .001) and 2 times the odds of a red blood cell transfusion compared with TSAs (P < .001). .
A logistic regression model showed that prior shoulder arthroplasty (odds ratio [OR], 15.1; P < .001), younger age (OR, 0.98; P . .006), earlier year of index surgery (OR, 0.83; P . .002), history of illicit drug use (OR, 6.2; P . .008), and depression (OR, 2.3; P . .003) were risk factors for development of in-hospital implant-related complications after RTSA.
Comment: These data are useful in identifying patients that may be at increased risk and in explaining to patients the increased risk of mechanical complications and transfusion with RTSA.
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How you can support progress in shoulder surgery
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A logistic regression model showed that prior shoulder arthroplasty (odds ratio [OR], 15.1; P < .001), younger age (OR, 0.98; P . .006), earlier year of index surgery (OR, 0.83; P . .002), history of illicit drug use (OR, 6.2; P . .008), and depression (OR, 2.3; P . .003) were risk factors for development of in-hospital implant-related complications after RTSA.
Comment: These data are useful in identifying patients that may be at increased risk and in explaining to patients the increased risk of mechanical complications and transfusion with RTSA.
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Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
Use the "Search" box to the right to find other topics of interest to you.
How you can support progress in shoulder surgery
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
