Hypertension and postoperative complications following arthroscopic rotator cuff repair
Background: The purpose of this study was to investigate the relationship between hypertension and postoperative complications following arthroscopic rotator cuff repair (aRCR). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was surveyed for all pati...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | JSES International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323001858 |
| _version_ | 1827781685163327488 |
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| author | Rachel A. Loyst, BS Kenny Ling, MD Steven H. Liu, BS Justice U. Achonu, MD Frederick Hance, MD David E. Komatsu, PhD Edward D. Wang, MD |
| author_facet | Rachel A. Loyst, BS Kenny Ling, MD Steven H. Liu, BS Justice U. Achonu, MD Frederick Hance, MD David E. Komatsu, PhD Edward D. Wang, MD |
| author_sort | Rachel A. Loyst, BS |
| collection | DOAJ |
| description | Background: The purpose of this study was to investigate the relationship between hypertension and postoperative complications following arthroscopic rotator cuff repair (aRCR). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was surveyed for all patients who underwent aRCR between 2015 and 2021. Patient demographics, comorbidities, and 30-day postoperative complication data were analyzed. Multivariate logistic regression identified postoperative complications associated with hypertension. Results: Forty-six thousand five hundred and sixty-two patients were included in the analysis: 20,999 (45.1%) patients in the hypertensive cohort and 25,563 (54.9%) in the nonhypertensive cohort. Hypertension was associated with male gender (P < .001), age ≥ 65 years (P < .001), body mass index > 30 (P < .001), dependent functional status (P < .001), American Society of Anesthesiologists classification ≥ 3 (P < .001), current smoker (P < .001), diabetes (P < .001), chronic obstructive pulmonary disease (P < .001), and bleeding disorders (P < .001). Thrity-day postoperative complications significantly associated with hypertension included pneumonia (P = .012), reintubation (P = .009), urinary tract infection (P = .002), stroke (P = .044), myocardial infarction (P = .004), ventilator > 48 hours (P = .017), readmission (P < .001), non-home discharge (P < .001), and mortality (P = .020). After adjusting for patient demographics and comorbidities, readmission (odds ratio [OR] 1.41; 95% confidence interval [CI] 1.13-1.75; P = .002) was independently associated with hypertension. Conclusion: Hypertension was identified as a risk factor for various postoperative complications following aRCR. Hypertension was found to be an independent predictor for readmission following aRCR. |
| first_indexed | 2024-03-11T15:22:11Z |
| format | Article |
| id | doaj.art-880ea616aa384bf686cc77668cbd6ab0 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-03-11T15:22:11Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-880ea616aa384bf686cc77668cbd6ab02023-10-28T05:09:52ZengElsevierJSES International2666-63832023-11-017623892392Hypertension and postoperative complications following arthroscopic rotator cuff repairRachel A. Loyst, BS0Kenny Ling, MD1Steven H. Liu, BS2Justice U. Achonu, MD3Frederick Hance, MD4David E. Komatsu, PhD5Edward D. Wang, MD6Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USARenaissance School of Medicine at Stony Brook University, Stony Brook, NY, USARenaissance School of Medicine at Stony Brook University, Stony Brook, NY, USADepartment of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USADepartment of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USADepartment of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USADepartment of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA; Corresponding author: Edward D. Wang, MD, Department of Orthopaedics, Stony Brook University Hospital, HSC T-18, Room 080, Stony Brook, NY 11794-8181, USA.Background: The purpose of this study was to investigate the relationship between hypertension and postoperative complications following arthroscopic rotator cuff repair (aRCR). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was surveyed for all patients who underwent aRCR between 2015 and 2021. Patient demographics, comorbidities, and 30-day postoperative complication data were analyzed. Multivariate logistic regression identified postoperative complications associated with hypertension. Results: Forty-six thousand five hundred and sixty-two patients were included in the analysis: 20,999 (45.1%) patients in the hypertensive cohort and 25,563 (54.9%) in the nonhypertensive cohort. Hypertension was associated with male gender (P < .001), age ≥ 65 years (P < .001), body mass index > 30 (P < .001), dependent functional status (P < .001), American Society of Anesthesiologists classification ≥ 3 (P < .001), current smoker (P < .001), diabetes (P < .001), chronic obstructive pulmonary disease (P < .001), and bleeding disorders (P < .001). Thrity-day postoperative complications significantly associated with hypertension included pneumonia (P = .012), reintubation (P = .009), urinary tract infection (P = .002), stroke (P = .044), myocardial infarction (P = .004), ventilator > 48 hours (P = .017), readmission (P < .001), non-home discharge (P < .001), and mortality (P = .020). After adjusting for patient demographics and comorbidities, readmission (odds ratio [OR] 1.41; 95% confidence interval [CI] 1.13-1.75; P = .002) was independently associated with hypertension. Conclusion: Hypertension was identified as a risk factor for various postoperative complications following aRCR. Hypertension was found to be an independent predictor for readmission following aRCR.http://www.sciencedirect.com/science/article/pii/S2666638323001858Arthroscopic rotator cuff repairHypertensionReadmissionPostoperative complicationsComorbiditiesShoulder |
| spellingShingle | Rachel A. Loyst, BS Kenny Ling, MD Steven H. Liu, BS Justice U. Achonu, MD Frederick Hance, MD David E. Komatsu, PhD Edward D. Wang, MD Hypertension and postoperative complications following arthroscopic rotator cuff repair JSES International Arthroscopic rotator cuff repair Hypertension Readmission Postoperative complications Comorbidities Shoulder |
| title | Hypertension and postoperative complications following arthroscopic rotator cuff repair |
| title_full | Hypertension and postoperative complications following arthroscopic rotator cuff repair |
| title_fullStr | Hypertension and postoperative complications following arthroscopic rotator cuff repair |
| title_full_unstemmed | Hypertension and postoperative complications following arthroscopic rotator cuff repair |
| title_short | Hypertension and postoperative complications following arthroscopic rotator cuff repair |
| title_sort | hypertension and postoperative complications following arthroscopic rotator cuff repair |
| topic | Arthroscopic rotator cuff repair Hypertension Readmission Postoperative complications Comorbidities Shoulder |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323001858 |
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