Cirrhosis associated with increased complications and healthcare utilization following total shoulder arthroplasty DOI Creative Commons

Justin Martino,

Alexander S. Guareschi,

Brandon L. Rogalski

et al.

Shoulder & Elbow, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

Introduction Cirrhosis is a known risk factor for morbidity and mortality following surgical procedures has been associated with increased complications, hospital length of stay (LOS), cost admission total joint arthroplasty. However, paucity literature exists evaluating the effect cirrhosis on postoperative outcomes shoulder arthroplasty (TSA). The purpose this study to evaluate short-term elective primary TSA in patients compared matched controls. Methods Nationwide Readmissions Database was queried from 2016 2020 identify who underwent TSA. Patients diagnosis ( n = 627) were 1:1 proportion did not have cirrhosis. Bivariate statistical analyses performed compare preoperative demographic comorbidity data, outcomes, utilization metrics between two groups. Following Bonferroni correction, an alpha value 0.003 defined significance. Results exhibited higher rates medical implant-related complications TSA, including acute renal failure (6.3% vs 1.1%: p < 0.001), urinary tract infection (3.5% 0.6%; transfusions (3.0% 0.2%; respiratory distress syndrome (2.9% 0.2%: 0.002), site (2.0% dislocation (2.1% 0.0%: prosthetic loosening (1.5% 0.0%; 0.002). These also all-cause (32% 9.2%: 0.001) 0.002) within 180 days surgery had ($24,633 $18,500; LOS (2.6 1.5 days; 0.001). Conclusion found costs, longer findings can assist orthopedic surgeons developing strategies period mitigate at-risk patient group. Level evidence III – Retrospective cohort study.

Language: Английский

Effect of Prior Bariatric Surgery on the Outcomes of Joint Arthroplasty: A Systematic Review and Meta-Analysis DOI Creative Commons
Zhou Zhang, Xiang Shi, Wei Liu

et al.

Journal of Investigative Surgery, Journal Year: 2025, Volume and Issue: 38(1)

Published: Jan. 8, 2025

Objective Obesity is a risk factor for joint arthroplasty complications. With this systematic review and meta-analysis, we assessed whether positive history of bariatric surgery influences postoperative outcomes in patients undergoing various types arthroplasty.

Language: Английский

Citations

0
Vitamin D Deficiency is Associated with Adverse Medical Outcomes Following Total Shoulder Arthroplasty DOI Creative Commons
Eve R. Glenn, Alexander R Zhu, Erin O’Connell

et al.

JSES International, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

Citations

0
COMPARATIVE ANALYSIS OF BARIATRIC SURGERY TECHNIQUES: A SYSTEMATIC REVIEW DOI Creative Commons

Hadayat Ullah,

Amna Asif,

Malik Mutahir Hassan

et al.

Published: March 15, 2024

Background: Bariatric surgery is a surgical intervention aimed at aiding patients in weight loss, primarily recommended for individuals with severe obesity who have failed to lose through conventional methods such as diet and exercise. While bariatric generally considered safe effective, it complex treatment involving significant dietary lifestyle modifications. However, there potential adverse effects post-surgery, necessitating thorough understanding of warning signs risk factors. Objective: The objective this study was systematically review the literature identify factors associated outcomes following surgery. Methods: A systematic conducted using Medical Literature Analysis Retrieval System Online (Medline) Latin American Caribbean Health Sciences (Lilacs) database. Qualitative analysis retrieved data performed variables signs. Results: identified several surgery, including genetics, anxiety, excessive intake sweets, psychological influencing eating behavior, disordered patterns, lack control/disinhibition eating, postoperative stomach volume changes. Notably, rapid loss raised concerns regarding development biliary issues, which could lead morbidity, readmission, reoperation, or other complications. Conclusion: This highlights importance recognizing Healthcare professionals should be vigilant monitoring postoperatively implementing appropriate interventions mitigate risks optimize patient outcomes.

Language: Английский

Citations

0
Cirrhosis associated with increased complications and healthcare utilization following total shoulder arthroplasty DOI Creative Commons

Justin Martino,

Alexander S. Guareschi,

Brandon L. Rogalski

et al.

Shoulder & Elbow, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

Introduction Cirrhosis is a known risk factor for morbidity and mortality following surgical procedures has been associated with increased complications, hospital length of stay (LOS), cost admission total joint arthroplasty. However, paucity literature exists evaluating the effect cirrhosis on postoperative outcomes shoulder arthroplasty (TSA). The purpose this study to evaluate short-term elective primary TSA in patients compared matched controls. Methods Nationwide Readmissions Database was queried from 2016 2020 identify who underwent TSA. Patients diagnosis ( n = 627) were 1:1 proportion did not have cirrhosis. Bivariate statistical analyses performed compare preoperative demographic comorbidity data, outcomes, utilization metrics between two groups. Following Bonferroni correction, an alpha value 0.003 defined significance. Results exhibited higher rates medical implant-related complications TSA, including acute renal failure (6.3% vs 1.1%: p < 0.001), urinary tract infection (3.5% 0.6%; transfusions (3.0% 0.2%; respiratory distress syndrome (2.9% 0.2%: 0.002), site (2.0% dislocation (2.1% 0.0%: prosthetic loosening (1.5% 0.0%; 0.002). These also all-cause (32% 9.2%: 0.001) 0.002) within 180 days surgery had ($24,633 $18,500; LOS (2.6 1.5 days; 0.001). Conclusion found costs, longer findings can assist orthopedic surgeons developing strategies period mitigate at-risk patient group. Level evidence III – Retrospective cohort study.

Language: Английский

Citations

0