The association of alcohol use disorder with revision rates and post-operative complications in total shoulder arthroplasty.

Autor:	Chiu AK; Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC, USA., Cuero KJ; Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC, USA., Agarwal AR; Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC, USA., Fuller SI; Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC, USA., Kreulen RT; Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Best MJ; Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Srikumaran U; Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jazyk:	angličtina
Zdroj:	Shoulder & elbow [Shoulder Elbow] 2024 Jul; Vol. 16 (3), pp. 250-257. Date of Electronic Publication: 2023 Apr 06.
DOI:	10.1177/17585732231165526
Abstrakt:	Background: Alcohol use disorder (AUD) is the most prevalent substance use disorder in the United States. However, the current literature on AUD as a preoperative risk factor for Total Shoulder Arthroplasty (TSA) outcomes is limited. The purpose of this study was to identify the association of AUD with revision rates and 90-day postoperative complications in TSA. Methods: A retrospective study was conducted using the PearlDiver database. Patients diagnosed with AUD were identified. Patients in remission or with underlying cirrhosis were excluded. Outcomes included 2-year revision, 90-day readmission, 90-day emergency, and 90-day post-operative medical complications. Analysis was performed with univariate chi-squared tests followed by multivariable logistic regression. Results: A total of 59,261 patients who underwent TSA for osteoarthritis were identified, with 1522 patients having a diagnosis of AUD. Multivariable logistic regression showed that patients with AUD were more likely to undergo 2-year all-cause revision (OR = 1.49, p   =  0.007), 2-year aseptic revision (OR = 1.47, p   =  0.014), 90-day hospital readmission (OR = 1.57, p   =  0.015), and 90-day transient mental disorder (OR = 2.13, p   =  0.026). Conclusions: AUD is associated with increased rates of 2-year revision surgery, as well as 90-day readmission and 90-day transient mental disorder following primary TSA for osteoarthritis. These findings may assist orthopedic surgeons in counseling patients with AUD during the pre-operative course. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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