Comparison of perioperative complications following surgical treatment of shoulder instability

Eberlin, Christopher T.; Varady, Nathan H.; Kucharik, Michael P.; Naessig, Sara; Martin, Scott D.

doi:10.1016/j.jseint.2022.01.001

Cited by 14 publications

(13 citation statements)

References 54 publications

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“…Additionally, the database does not include freestanding surgery centers. Despite those limitations, however, the ACS-NSQIP database has been used to report on many other orthopaedic procedures [10,11,15,[18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for unexpected admission following arthroscopic and open treatment of shoulder instability: a national database study of 11,230 cases

Giordano

Tarazi

Partan

et al. 2023

Clin Shoulder Elbow

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Background: Shoulder instability procedures have low morbidity; however, complications can arise that result in readmission to an inpatient healthcare facility. The purpose of this study is to identify the demographics and risk factors associated with unplanned 30-day readmission and reoperation following arthroscopic and open treatment for shoulder instability.Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried to find patients who underwent shoulder instability surgery from 2015 to 2019. Independent sample Student t-tests, chi-square, and (where appropriate) Fisher’s exact tests were used in univariate analyses to identify demographic, lifestyle, and peri-operative variables related to 30-day readmission and reoperation following repair for shoulder instability. Multivariate logistic regression modeling was subsequently performed.Results: Of the 11,230 cases included in our sample, only 0.54% were readmitted, and 0.23% underwent reoperation within the 30-day postoperative period. Multivariate logistic regression modeling confirmed that the following patient variables were associated with statistically significantly increased odds of readmission and reoperation: open repair, congestive heart failure (CHF), and hospital length of stay. Conclusions: Unplanned 30-day readmission and reoperation after shoulder instability surgery is infrequent. Patients with American Society of Anesthesiologists class II, CHF, longer than average hospital length of stay, or an open procedure have higher odds of readmission than patients without those factors. Patients who have CHF, longer than average hospital length of stay, and open surgery have higher odds of reoperation than others. Arthroscopic procedures should be used to manage shoulder instability, if possible. Surgeons should explain the risks and benefits of each intervention taking individual patient risk factors into account because comorbidities can also increase the risk of adverse outcomes. Level of evidence: III

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Section: Discussionmentioning

confidence: 99%

Risk factors for unexpected admission following arthroscopic and open treatment of shoulder instability: a national database study of 11,230 cases

Giordano

Tarazi

Partan

et al. 2023

Clin Shoulder Elbow

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show abstract

“…Despite these limitations, the NSQIP database has been used to provide novel, valuable insight for assessing operative and clinical characteristics as well as 30-day outcomes. 12 , 13 , 15 , 23 Importantly, the use of a large national database such as the NSQIP is essential for studies on national policy and disparities such as the present study. This is particularly important for studies on racial and socioeconomic disparities and studies that assess utilization because smaller, single surgeon studies may not have adequate sample size and may not be generalizable to the national patient population.…”

Section: Discussionmentioning

confidence: 99%

“… 11 , 20 , 24 , 30 Importantly, it has been used in previous orthopedic studies to articulate differences in surgical procedures. 13 , 23 Institutional review board approval was obtained for this study (#2021P001230).…”

Section: Methodsmentioning

confidence: 99%

“…Similar to previous studies using the NSQIP database, adverse events were classified as serious or minor. 12 , 13 , 15 , 23 Serious adverse events included death, reoperation, pulmonary complications (unplanned intubation or ventilator greater than 48 hours), pneumonia, cardiac complications (cardiac arrest or myocardial infarction), renal complications (progressive renal insufficiency or acute renal failure), thromboembolic complications (deep vein thrombosis/thrombophlebitis or pulmonary embolism), deep wound complications (deep incisional surgical site infection, wound dehiscence, or joint space infection), and sepsis. Minor adverse events included superficial surgical site infection and urinary tract infection.…”

Section: Methodsmentioning

confidence: 99%

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Racial disparities in arthroscopic rotator cuff repair: an analysis of utilization and perioperative outcomes

et al. 2023

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“…Nevertheless, the ACS-NSQIP database remains an excellent resource for analysis of surgical utilization and short-term outcomes. 7 , 9 , 15 , 18 , 22 , 26 …”

Section: Discussionmentioning

confidence: 99%

Sex differences in utilization and perioperative outcomes of arthroscopic rotator cuff repair

et al. 2022

Self Cite

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Comparison of perioperative complications following surgical treatment of shoulder instability

Cited by 14 publications

References 54 publications

Risk factors for unexpected admission following arthroscopic and open treatment of shoulder instability: a national database study of 11,230 cases

Risk factors for unexpected admission following arthroscopic and open treatment of shoulder instability: a national database study of 11,230 cases

Racial disparities in arthroscopic rotator cuff repair: an analysis of utilization and perioperative outcomes

Sex differences in utilization and perioperative outcomes of arthroscopic rotator cuff repair

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