Key result
Isolated regional anesthesia was associated with lower in-hospital complications and 90-day readmission rates compared to general anesthesia after total shoulder arthroplasty.
Why the study?
Does isolated regional anesthesia reduce complications and readmissions compared to general anesthesia in patients undergoing total shoulder arthroplasty?
Cohort (n=4,158)
Does isolated regional anesthesia reduce complications and readmissions compared to general anesthesia in patients undergoing total shoulder arthroplasty?
Isolated regional anesthesia may be preferable to general anesthesia for total shoulder arthroplasty due to lower complication and readmission rates.
Answers are grounded in this paper and cite their sources.
May support regional anesthesia preference; leaves open need for randomized confirmation before practice change.
BACKGROUND: Intraoperative anesthetic typically consists of either general anesthesia (GA) or isolated regional anesthesia (RA). METHODS: A retrospective propensity-matched cohort analysis on patients undergoing TSA was performed to determine differences between GA and RA in regard to patient population, complications, LOS and hospital readmission. RESULTS: 4158 patients underwent TSA with GA or isolated RA. Propensity-matching resulted in 912 patients in each cohort. RA had lower overall in-hospital complications and greater homebound discharge disposition with lower 90-day readmission rates than GA. CONCLUSION: After TSA, isolated RA was associated with lower in-hospital complications, readmission rates and odds of hospital readmission than GA.
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Ding et al. (2017) conducted a cohort in Total shoulder arthroplasty (n=4,158). Isolated regional anesthesia vs. General anesthesia was evaluated on In-hospital complications, length of stay, and hospital readmission. Isolated regional anesthesia was associated with lower in-hospital complications and 90-day readmission rates compared to general anesthesia after total shoulder arthroplasty.
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