Key result
Octogenarians undergoing total shoulder arthroplasty had greater odds of developing any 30-day postoperative complications compared to controls (OR 2.05; 95% CI 1.70-2.46).
Why the study?
Does total shoulder arthroplasty in octogenarians increase the risk of 30-day postoperative complications compared to controls?
Observational
Yes
Does total shoulder arthroplasty in octogenarians increase the risk of 30-day postoperative complications compared to controls?
Odds Ratio: 2.05 (95% CI 1.7–2.46)
Octogenarians undergoing total shoulder arthroplasty face approximately twice the odds of 30-day postoperative complications compared to controls, highlighting the need for targeted perioperative risk management.
Caution advised for octogenarian TSA; leaves open need for prospective risk-stratification trials.
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.
No takes yet. Share an insight, caveat, or question.
Newman et al. (2018) conducted an observational in Total shoulder arthroplasty. Octogenarian age vs. Controls (non-octogenarians) was evaluated on Any 30-day postoperative complications (OR 2.05, 95% CI 1.70-2.46). Octogenarians undergoing total shoulder arthroplasty had greater odds of developing any 30-day postoperative complications compared to controls (OR 2.05; 95% CI 1.70-2.46).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: