Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty
Background The occurrence of prosthesis-related complications after total shoulder arthroplasty is devastating and costly. The purpose was to determine the incidence and risk of in-hospital prosthesis-related complications after total shoulder arthroplasty utilizing a large-scale sample database. Me...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-11-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/10225536231214055 |
| _version_ | 1797624225809301504 |
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| author | Huishan Lu Enyou Jin Hao Xie Jinlang Fu Xianhui Chen Wenqian Liu Qinfeng Yang Fang Yu |
| author_facet | Huishan Lu Enyou Jin Hao Xie Jinlang Fu Xianhui Chen Wenqian Liu Qinfeng Yang Fang Yu |
| author_sort | Huishan Lu |
| collection | DOAJ |
| description | Background The occurrence of prosthesis-related complications after total shoulder arthroplasty is devastating and costly. The purpose was to determine the incidence and risk of in-hospital prosthesis-related complications after total shoulder arthroplasty utilizing a large-scale sample database. Methods A retrospective database analysis was performed based on Nationwide Inpatient Sample from 2010 to 2014. Patients who underwent total shoulder arthroplasty were included. Patient demographics, hospital characteristics, length of stay, economic indicators, in-hospital mortality, comorbidities, and peri-operative complications were evaluated. Results A total of 34,198 cases were capture from the Nationwide Inpatient Sample database. There were 343 cases of in-hospital prosthesis-related complications after total shoulder arthroplasty and the overall incidence was 1%, with a more than 2.5-fold decrease from 2010 to 2014. Dislocation was the most common category among prosthesis-related complications (0.1%). The occurrence of in-hospital prosthesis-related complications was associated with significantly more total charges and slightly longer length of stay while less usage of Medicare. Risk factors of prosthesis-related complications were identified including younger age (<64 years), female, the native American, hospital in the South, alcohol abuse, depression, uncomplicated diabetes, diabetes with chronic complications, fluid and electrolyte disorders, metastatic cancer, neurological disorders, and renal failure. Interestingly, advanced age (≥65 years) and proprietary hospital were found as protective factors. Furthermore, prosthesis-related complications were associated with aseptic necrosis, rheumatoid arthritis, rotator cuff tear arthropathy, Parkinson’s disease, prior shoulder arthroscopy, and blood transfusion. Conclusions It is of benefit to study risk factors of prosthesis-related complications following total shoulder arthroplasty to ensure the appropriate management and optimize consequences although a relatively low incidence was identified. |
| first_indexed | 2024-03-11T09:39:56Z |
| format | Article |
| id | doaj.art-7500774ff26540b4a1bd1401e93fb05e |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-03-11T09:39:56Z |
| publishDate | 2023-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-7500774ff26540b4a1bd1401e93fb05e2023-11-16T17:03:19ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902023-11-013110.1177/10225536231214055Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplastyHuishan LuEnyou JinHao XieJinlang FuXianhui ChenWenqian LiuQinfeng YangFang YuBackground The occurrence of prosthesis-related complications after total shoulder arthroplasty is devastating and costly. The purpose was to determine the incidence and risk of in-hospital prosthesis-related complications after total shoulder arthroplasty utilizing a large-scale sample database. Methods A retrospective database analysis was performed based on Nationwide Inpatient Sample from 2010 to 2014. Patients who underwent total shoulder arthroplasty were included. Patient demographics, hospital characteristics, length of stay, economic indicators, in-hospital mortality, comorbidities, and peri-operative complications were evaluated. Results A total of 34,198 cases were capture from the Nationwide Inpatient Sample database. There were 343 cases of in-hospital prosthesis-related complications after total shoulder arthroplasty and the overall incidence was 1%, with a more than 2.5-fold decrease from 2010 to 2014. Dislocation was the most common category among prosthesis-related complications (0.1%). The occurrence of in-hospital prosthesis-related complications was associated with significantly more total charges and slightly longer length of stay while less usage of Medicare. Risk factors of prosthesis-related complications were identified including younger age (<64 years), female, the native American, hospital in the South, alcohol abuse, depression, uncomplicated diabetes, diabetes with chronic complications, fluid and electrolyte disorders, metastatic cancer, neurological disorders, and renal failure. Interestingly, advanced age (≥65 years) and proprietary hospital were found as protective factors. Furthermore, prosthesis-related complications were associated with aseptic necrosis, rheumatoid arthritis, rotator cuff tear arthropathy, Parkinson’s disease, prior shoulder arthroscopy, and blood transfusion. Conclusions It is of benefit to study risk factors of prosthesis-related complications following total shoulder arthroplasty to ensure the appropriate management and optimize consequences although a relatively low incidence was identified.https://doi.org/10.1177/10225536231214055 |
| spellingShingle | Huishan Lu Enyou Jin Hao Xie Jinlang Fu Xianhui Chen Wenqian Liu Qinfeng Yang Fang Yu Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty Journal of Orthopaedic Surgery |
| title | Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty |
| title_full | Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty |
| title_fullStr | Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty |
| title_full_unstemmed | Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty |
| title_short | Incidence and risk factors of in-hospital prosthesis-related complications following total shoulder arthroplasty |
| title_sort | incidence and risk factors of in hospital prosthesis related complications following total shoulder arthroplasty |
| url | https://doi.org/10.1177/10225536231214055 |
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