Reverse total shoulder arthroplasty in patients 80 years and older: a national database analysis of complications and mortality

Outcomes of anatomic and reverse total shoulder arthroplasty in patients over the age of 70: a systematic review

“…The 30-day and 90-day mortality of octogenarians in national database studies have been reported to be between 0.22% and 0.5% and 2.7%, respectively. 7,8,42 The overall mortality of all included studies was 19.3%, which is not surprising considering that the mean age of included studies was 79.5 years and the current life expectancy in the United States is 74.2 years for men and 79.9 years for women. 30 Given excellent implant survivorship of both ATSA and RTSA over 98% at 5 years, it is probable that most patients over 70 years will not need a revision procedure.…”

A comprehensive analysis of age and 30-day complications following total shoulder arthroplasty: nonagenarians, octogenarians, and septuagenarians

“…However, the literature has consistently shown that older individuals are at higher risk of postoperative medical complications, including deep vein thrombosis, UTI, acute renal failure, and pneumonia. 35 Therefore, as a greater number of older individuals undergo TSA, it is important to understand potential adverse outcomes of these different age groups.…”

“… 4 , 6 On the other hand, when compared to younger cohorts, older patients have been reported to be at decreased risk for dislocation, perioperative fracture, implant related complications, and surgical site infections. 35 , 38 …”

“…Although overall mortality and complication rates are low, patients older than age 80 have been reported to have higher rates of early mortality following TSA. 35 This again could be related to the medical complexity that often goes along with aging patients. However, a study by McCormick et al suggests that the mortality rate following TSA is still lower than that of THA and TKA.…”

Periprosthetic fractures after shoulder arthroplasty: a systematic review

“…Also, there was a higher prevalence of fracture occurrence in the actively smoking group comparing to patients who quit smoking at least 1 month before the procedure ( 52 ). In Testa et al joint registry analysis, the authors found that periprosthetic fractures in 1 year postoperatively are more common in patients younger than 80 years of age compared to older patients (odds ratio = 0.35) ( 53 ).…”