Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients.

Autor: Wang CA; Broward Health Medical Center, Department of Orthopedic Surgery Ft. Lauderdale, FL, 33316, USA., Palmer JR; Broward Health Medical Center, Department of Orthopedic Surgery Ft. Lauderdale, FL, 33316, USA., Madden MO; Broward Health Medical Center, Department of Orthopedic Surgery Ft. Lauderdale, FL, 33316, USA., Cohen-Levy W; University of Miami Hospital, Department of Orthopedic Surgery, Miami, FL, 33136, USA., Vakharia RM; Holy Cross Hospital, Orthopedic Research Institute, Ft. Lauderdale, FL, 33308, USA., Roche MW; Holy Cross Hospital, Orthopedic Research Institute, Ft. Lauderdale, FL, 33308, USA.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2019 May 01; Vol. 16 (5), pp. 382-385. Date of Electronic Publication: 2019 May 01 (Print Publication: 2019).
DOI: 10.1016/j.jor.2019.04.003
Abstrakt: Introduction: The study evaluated whether sleep apnea (SA) patients undergoing total shoulder arthroplasty (TSA) are at greater odds of: 1) medical complications; 2) implant-related complications; 3) readmission rates; and 4) costs.
Methods: Complications and readmissions were assessed using logistic regression analysis. Welch's t -test was used to compare CCI and cost between cohorts.
Results: 33,366 patients equally distributed in both cohorts. SA increased the odds of medical [Odds-ratio (OR)]: 2.52, p < 0.001) and implant-related complications (OR: 1.43, p < 0.001). Readmission rates were similar to controls (OR: 0.99, p = 0.878), whereas costs were higher (p < 0.001).
Conclusion: SA increases complications and costs following TSA.
Databáze: MEDLINE
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