Age-Related Differences in 30-Day Postoperative Complications Following Aseptic Revision Total Shoulder Arthroplasty: A Comparison of Patients Under and Over 80 Years Old

Authors, Author Information and Article Contact

Rachel A. Loyst, BSa, Patricia Cerri-Droz BSa, Steven H. Liu BSa, Kenny Ling MDb, Dorian Cohen MD b, David E. Komatsu PhDb, Edward D. Wang, MDb

a Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA

b Department of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA

Disclosure Statement

None of the authors has any funding sources, commercial, or financial conflicts of interest to declare.

Citation

Loyst RA, Cerri-Droz P, et al: Age-Related Differences in 30-Day Postoperative Complications Following Aseptic Revision Total Shoulder Arthroplasty: A Comparison of Patients Under and Over 80 Years Old.  Stony Brook Medicine Journal of Scholarship, Innovation, and Quality Improvement - Orthopaedics 2023-2024.

Keywords
revision total Shoulder arthroplasty; age; complications; length of stay; nonhome discharge
Abstract

Introduction: This study investigates the association between patients < 80 years old and patients 80 years old and 30-day postoperative complications following aseptic revision total shoulder arthroplasty (TSA).

Materials and methods: All patients who underwent revision TSA between 2015 and 2022 from the American College of Surgeons National Surgical Quality Improvement (NSQIP) database were surveyed for this study. Patient demographics, comorbidities, and 30-day postoperative complication data were analyzed. Logistic regression was used to analyze the postoperative complications associated in patients greater than or equal to 80 years old.

Results: Compared to patients < 80 years old, patients 80 years old were independently associated with a significantly greater likelihood of experiencing any complication (odds ratio [OR] 1.61, 95% confidence interval [CI] 1.23-2.11; P < .001), non-home discharge (OR 3.68, 95% CI 2.58-5.25; P < .001), and length of stay (LOS) > 2 days (OR 1.57, 95% CI 1.18-2.10; P = 0.002).

Conclusions: Compared to patients < 80 years old, patients 80 years old were independently associated with a significantly greater likelihood of experiencing any complication, non-home discharge, and LOS > 2 days. A better understanding of the age as a risk factor may help physicians better risk stratify and select surgical candidates for revision TSA.

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