Mortality After Shoulder Arthroplasty

Abstract One year post-operative mortality among patients with primary elective total shoulder arthroplasty (ETSA) and traumatic shoulder arthroplasty (TSA) were compared to the general population of a large healthcare system. Standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) w...

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Bibliographic Details
Published in:The Journal of arthroplasty 2014-09, Vol.29 (9), p.1823-1826
Main Authors: Inacio, Maria C.S., PhD, Dillon, Mark T., MD, Miric, Alexander, MD, Anthony, Faith, MA, Navarro, Ronald A., MD, Paxton, Elizabeth W., MA
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid - mortality
Arthritis, Rheumatoid - surgery
Arthroplasty, Replacement - mortality
Child
Child, Preschool
Delivery of Health Care, Integrated
elective shoulder arthroplasty
Elective Surgical Procedures - mortality
excess death
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
mortality
Orthopedics
Osteoarthritis - mortality
Osteoarthritis - surgery
Osteonecrosis - mortality
Osteonecrosis - surgery
Outcome Assessment (Health Care)
Postoperative Period
Retrospective Studies
Risk Factors
Rotator Cuff - surgery
Shoulder Joint - injuries
Shoulder Joint - surgery
standardized mortality ratio
traumatic shoulder arthroplasty
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Summary:Abstract One year post-operative mortality among patients with primary elective total shoulder arthroplasty (ETSA) and traumatic shoulder arthroplasty (TSA) were compared to the general population of a large healthcare system. Standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) were calculated. 614 ETSA patients, 1.0% one year mortality, and 168 TSA patients, 5.4% mortality rate, were evaluated. Patients with ETSA (SMR = 0.4, 95% CI 0.1–0.7) had lower odds of mortality than expected, while patients with TSA (SMR = 1.8, 95% CI 0.6–3.0) did not have higher than expected odds of mortality compared to the reference population. Understanding excess mortality following shoulder arthroplasty surgery allows providers to evaluate current practices and identify ways to optimize patients prior to surgery.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.04.006