Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 31110398.
- Also identified by DOI 10.1016/j.jor.2019.04.003 and PMC identifier 6512835.
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Abstract
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. Complications and readmissions were assessed using logistic regression analysis. Welch's <i>t</i>-test was used to compare CCI and cost between cohorts. 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). SA increases complications and costs following TSA.
Anatomy
- shoulder