Reverse Shoulder Arthroplasty in Nonagenarians - NIS-based study of perioperative and postoperative complications

Toutoungy, Michel; Venishetty, Nikit; Mounasamy, Varatharaj; Khazzam, Michael; Sambandam, Senthil

doi:10.1016/j.jor.2023.07.003

Cited by 1 publication

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“…However, previous studies have shown that Hispanics have longer LOS after major surgeries, such as total hip arthroplasty and other medical complications, such as hospitalization for heart failure [ 9 , 22 ]. Moreover, the longer LOS has been reported to contribute to a higher COC following procedures such as total shoulder arthroplasty and RSA [ 23 , 24 ]. Potential conclusions for this difference in LOS might stem from variable communication with patients about their discharge plans.…”

Section: Discussionmentioning

confidence: 99%

Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study

Venishetty,

Sohn,

Nguyen

et al. 2023

Arthroplasty

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Background Hispanic patients are the youngest and fastest-growing ethnic group in the USA. Many of these patients are increasingly met with orthopedic issues, often electing to undergo corrective procedures such as reverse shoulder arthroplasty (RSA). This patient population has unique medical needs and has been reported to have higher incidences of perioperative complications following major procedures. Unfortunately, there is a lack of information on the hospitalization data and perioperative complications in Hispanic patients following procedures such as RSA. This project aimed to query the Nationwide Inpatient Sample (NIS) database to assess patient hospitalization information, demographics, and the prevalence of perioperative complications among Hispanic patients who received RSA. Methods Information from 2016–2019 was queried from the NIS database. Demographic information, incidences of perioperative complications, length of stay, and costs of care among Hispanic patients undergoing RSA were compared to non-Hispanic patients undergoing RSA. A subsequent propensity matching was conducted to consider preoperative comorbidities. Results The query of NIS identified 59,916 patients who underwent RSA. Of this sample, 2,656 patients (4.4%) were identified to be Hispanic, while the remaining 57,260 patients (95.6%) were found to belong to other races (control). After propensity matching, Hispanic patients had a significantly longer LOS (median = 1.4 days) than the patients in the control group (median = 1.0, P < 0.001). The Hispanic patients (89,168.5 USD) had a significantly higher cost of care than those in the control group (67,396.1 USD, P < 0.001). In looking at postoperative complications, Hispanic patients had increased incidences of acute renal failure (Hispanics: 3.1%, control group: 1.1%, P = 0.03) and blood loss anemia (Hispanics: 12.7%, control group: 10.9%, P = 0.03). Conclusions Hispanic patients had significantly longer lengths of stay, higher costs of care, and higher rates of perioperative complications compared to the control group. For patients who are Hispanic and undergoing RSA, this information will aid doctors in making comprehensive decisions regarding patient care and resource allocation.

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