Shoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days

Rubenstein, William J.; Pean, Christian A.; Colvin, Alicia

doi:10.1016/j.arthro.2016.05.035

Cited by 28 publications

(23 citation statements)

References 31 publications

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“…Our adverse event rate of 1.09% is consistent with existing data. In particular, our data compare with recent results published by Rubenstein et al, 6 which found an overall 1.6% rate of any adverse event in shoulder arthroscopy in patients older than 60 years in a hospital-based data set of 7,867 patients of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). In contrast to categorizing by state reportable events, they categorized adverse events by severe adverse events (1.1%), minor adverse events (1.1%), infectious adverse events (0.2%), and any adverse events (1.6%).…”

Section: Discussionsupporting

confidence: 82%

“…1 , 2 Overall, outpatient shoulder surgeries have been shown to be safe, with a low rate of complications ranging from 2.1% for open rotator cuff repair and 0.99% for shoulder arthroscopy in general. 3 4 5 A recent article by Rubenstein et al 6 found that patients aged 60 years or older who underwent shoulder arthroscopy also have a low overall 30-day postoperative complication rate of 1.6%.…”

mentioning

confidence: 99%

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Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases

et al. 2018

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Introduction:With increasing utilization of surgery centers, it is important to demonstrate the safety of outpatient shoulder surgery in freestanding ambulatory surgery centers. No studies have specifically looked at the Medicare-age population and the rate of outpatient shoulder procedure complications in these patients at an ambulatory surgery center.Methods:Six hundred forty patients were included in our study between 2000 and 2015. The incidence of major complications was identified, including acute infection requiring intravenous antibiotics or irrigation and débridement, postoperative transfer to a hospital, wrong-site surgical procedures, retention of a foreign object, postoperative symptomatic thromboembolism, medication errors, and bleeding/wound complications.Results:There was a total of seven occurrence reports in seven patients, for a reported adverse event rate of 1.01%.Conclusions:Our findings are consistent with currently reported outpatient hospital-based data and illustrate the safety of outpatient shoulder procedures at a freestanding ambulatory surgery center in Medicare-age patients.

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Section: Discussionsupporting

confidence: 82%

mentioning

confidence: 99%

Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases

et al. 2018

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“…Using the NSQIP database, Shields et al 12 similarly identified a short-term complication rate of 1% with a 0.57% rate of major complications and 0.53% rate of minor complications after shoulder arthroscopy. Similarly, Rubinstein et al 13 reported a 1.6% incidence of adverse events after shoulder arthroscopy in patient aged 60 years and older. Shin et al 14 examined complications associated with shoulder arthroscopy in recently trained surgeons by using the ABOS database.…”

Section: Discussionmentioning

confidence: 88%

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

et al. 2020

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Purpose: Shoulder arthroscopy is the second most frequently performed procedure by orthopaedic surgeons taking the American Board of Orthopaedic Surgery part II examination. However, the impact of resident involvement on outcomes after shoulder arthroscopy is poorly understood. The aim of this study was to investigate whether resident involvement in shoulder arthroscopic procedures affects postoperative complication rates and surgical time using propensity score-matched cohorts. Methods: The American College of Surgeons National Surgical Quality Improvement Program registry was queried to identify patients who underwent common shoulder arthroscopic procedures between 2006 and 2012. Cases without information on resident involvement, treatment of septic arthritis or osteomyelitis of the shoulder, or concomitant open or miniopen procedures were excluded from the study. A 1:1 propensity score match was used based on demographic and comorbidity factors to match cases with resident involvement to nonresident cases. Patient demographics, comorbidities, surgical time, length of hospital stay, and 30-day postoperative complications were compared between the two groups. Results: Overall, 15,857 patients who underwent shoulder arthroscopy were identified. After propensity score matching, 3474 cases (50% with resident involvement) were included. Appropriate matching was verified with no difference in demographic or health characteristics. No significant differences in the overall rate of 30-day complications was noted in resident-involved versus nonresident group ( P = 0.576). No significant difference was observed in postoperative surgical or medical complications. Resident involvement was significantly longer surgical time (75.9 ± 35.9 versus 75.1 ± 40.5 minutes, P = 0.03) when compared with cases performed without a resident. Conclusions: Resident involvement in shoulder arthroscopy is not associated with increased risk for medical or surgical 30-day postoperative complications. Resident participation in shoulder arthroscopy cases did increase surgical time; however, this finding is likely clinically insignificant.

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“…Las incidencias de complicaciones médicas y quirúrgicas asociadas con la CAH son bajas. Rubenstein 22 publica una tasa de 1.4% en 4,334 pacientes mayores de 60 años intervenidos por rotura del manguito rotador mediante CAH, con mayor incidencia en pacientes mayores de 80 años y con obesidad mayor de 35. En nuestro estudio no se registraron complicaciones perioperatorias, ni atención en urgencias o reingresos hospitalarios en los primeros 30 días tras la CAH.…”

Section: Discussionunclassified

Resultados del tratamiento artroscópico de la rotura del manguito rotador en pacientes mayores de 60 años

Puga¹,

Villegas-Robles²,

Ortuño-Moreno³

et al. 2020

Acta Ortopédica Mexicana

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Shoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days

Cited by 28 publications

References 31 publications

Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases

Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

Resultados del tratamiento artroscópico de la rotura del manguito rotador en pacientes mayores de 60 años

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