Total shoulder arthroplasty in octogenarians: Is there a higher risk of adverse outcomes?

Abstract This study used the National Surgical Quality Improvement Program to evaluate octogenarians who underwent total shoulder arthroplasty (TSA). Specifically, we evaluated: (1) patient demographics; (2) perioperative factors; and (3) 30-day postoperative complications. Compared to controls, the...

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Bibliographic Details
Published in:Journal of orthopaedics 2018-06, Vol.15 (2), p.671-675
Main Authors: Newman, Jared M, Stroud, Sarah G, Yang, Andrew, Sodhi, Nipun, Dixit, Anant, Doran, James P, Hayden, Andrew J, Casagrande, Danielle J, Mont, Michael A
Format: Article
Language:English
Subjects:
Complications
Lengths of stay
Octogenarian
Orthopedics
Perioperative
Shoulder arthroplasty
Total shoulder arthroplasty
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Summary:Abstract This study used the National Surgical Quality Improvement Program to evaluate octogenarians who underwent total shoulder arthroplasty (TSA). Specifically, we evaluated: (1) patient demographics; (2) perioperative factors; and (3) 30-day postoperative complications. Compared to controls, the octogenarians had more females, white patients, lower BMIs, fewer smokers, less functionally independent, higher ASA scores, shorter operative times, and longer LOS. Octogenarians had greater odds for developing any (OR = 2.05; 95%CI, 1.70–2.46), any major (OR = 2.28; 95%CI, 1.66–3.13), and any minor (OR = 1.99; 95%CI, 1.63–2.45) complications. Perioperative risk management strategies for elective TSA in the elderly may help mitigate the increased perioperative risks associated with age.
ISSN:0972-978X
0972-978X
DOI:10.1016/j.jor.2018.05.035