Risk factors for unexpected readmission and reoperation following open procedures for shoulder instability: a national database study of 1,942 cases.

Autor: Tarazi JM; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Huntington Hospital, Huntington, NY, USA., Partan MJ; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Huntington Hospital, Huntington, NY, USA., Daley A; Touro College of Osteopathic Medicine, Harlem, NY, USA., Klein B; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Huntington Hospital, Huntington, NY, USA., Bartlett L; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Huntington Hospital, Huntington, NY, USA., Cohn RM; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Huntington Hospital, Huntington, NY, USA.; Department of Orthopaedic Surgery, Northwell Health-Long Island Jewish Valley Stream, Valley Stream, NY, USA.
Jazyk: angličtina
Zdroj: Clinics in shoulder and elbow [Clin Shoulder Elb] 2023 Sep; Vol. 26 (3), pp. 252-259. Date of Electronic Publication: 2023 Aug 11.
DOI: 10.5397/cise.2023.00178
Abstrakt: Background: The purpose of this study was to identify demographics and risk factors associated with unplanned 30-day readmission and reoperation following open procedures for shoulder instability and examine recent trends in open shoulder instability procedures.
Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried using current procedural terminology (CPT) codes 23455, 23460, and 23462 to find patients who underwent shoulder instability surgery from 2015 to 2019. Independent sample Student t-tests and chi-square tests were used in univariate analyses to identify demographic, lifestyle, and perioperative variables related to 30-day readmission following repair for shoulder instability. Multivariate logistic regression modeling was subsequently performed.
Results: In total, 1,942 cases of open surgical procedures for shoulder instability were identified. Within our study sample, 1.27% of patients were readmitted within 30 days of surgery, and 0.85% required reoperation. Multivariate logistic regression modeling confirmed that the following patient variables were associated with a statistically significant increase in the odds of readmission: open anterior bone block/Latarjet-Bristow procedure, being a current smoker, and a long hospital stay (all P<0.05). Multivariate logistic regression modeling confirmed statistically significant increased odds of reoperation with an open anterior bone block or Latarjet-Bristow procedure (P<0.05).
Conclusions: Unplanned 30-day readmission and reoperation after open shoulder instability surgery is infrequent. Patients who are current smokers, have an open anterior bone block or Latarjet-Bristow procedure, or a longer than average hospital stay have higher odds of readmission than others. Patients who undergo an open anterior bone block or Latarjet-Bristow procedure have higher odds of reoperation than those who undergo an open soft-tissue procedure. Level of evidence: III.
Databáze: MEDLINE
Externí odkaz: