Increased 30-Day Postoperative Readmission and Medical Complication Rates Among Patients 65 Years and Older Following Arthroscopic Rotator Cuff Repair

• DOI: 10.1016/j.asmr.2022.04.011
• Publication Date: 2022-05-24T13:13:46Z
• Authors: Mark A. Plantz; Scott A. Wu; Erik B. Gerlach; Nicholas C. Arpey; Peter R. Swiatek; John J. Carney; Vehniah K. Tjong
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Sports medicine; Original Article; RC1200-1245; 3. Good health

PurposeThe purpose of this study is to use a large national database assess short-term adverse events following arthroscopic rotator cuff repair in patients 65 years and older.MethodsThe ACS NSQIP was queried identify that underwent between December 31, 2015, January 1, 2017. Patients were split into two groups: 1) 40-65 old 2) 65+ old. Cases involving open repair, total shoulder arthroplasty, hemiarthroplasty, emergency surgery excluded. Exact matching used control for confounding variables, including sex, body mass index (BMI), American Society Anesthesiologists (ASA) score, operative time, several medical comorbidities. After matching, the incidence 30-day patient complication measures compared groups. Binary logistic regression covariates associated with various complications.ResultsA 17,880 included study. 69.4% (n = 12,404) 40 30.6% 5,476) 9,210 final analysis. older more likely experience unplanned readmission (P .035) overall complications .036). There no significant differences most measures, mortality .250), reoperation .449), non-home discharge .255), surgical .146), complications, myocardial infarction .165), deep venous thromboembolism .206), pulmonary embolism .196), cerebrovascular accident > .999) age groups.ConclusionsIn matched cohort study, experienced higher rate elective relative under 65. However, these did not have significantly worse rates other mortality, reoperation, return OR, discharge. The older. complications. A In