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• W2011704466 abstract "Chronic lung disease has a significant burden on surgical patients and in some instances can be so advanced that patients are dependent on home supplemental oxygen. Prior literature has shown that lower extremity total joint arthroplasty patients who are oxygen-dependent exhibit significantly increased rates of postoperative complications and readmission. However, there is a paucity of literature evaluating outcomes following total shoulder arthroplasty (TSA) in oxygen-dependent patients. The purpose of this study is to compare the rates of complications, readmission, revision, and mortality within 180 days of primary elective TSA in oxygen-dependent vs. oxygen-independent patients with comorbid chronic pulmonary disease.The Nationwide Readmissions Database was queried from 2015 to 2019 to identify all patients that underwent primary elective TSA with comorbid chronic lung disease (n = 19,469). Patients were stratified into oxygen-dependent (n = 622) and oxygen-independent (n = 18,847) groups. Relevant demographic characteristics and postoperative complications were compared between the oxygen-dependent and oxygen-independent groups. One hundred eighty-day postoperative complication, readmission, revision, and mortality rates were also compared between the two groups.Oxygen dependent patients were significantly more likely to have preoperative hypertension (81% vs. 74%; P < .001), congestive heart failure (20% vs. 7.2%; P < .001), chronic kidney disease (13% vs. 10%; P = .009), and increased Charlson-Deyo comorbidity index (2.4 vs. 2.0; P < .001). Oxygen-dependent patients exhibited higher rates of wound dehiscence (0.2% vs. 0.0%; P = .003), cardiovascular complications (0.6% vs. 0.2%; P = .014), acute renal failure (5.5% vs. 1.9%; P < .001), urinary tract infection (1.9% vs. 1.0%; P = .019), pneumonia (1.6% vs. 0.6%; P = .001), and acute respiratory distress syndrome (6.9% vs. 1.5%; P < .001). Oxygen-dependent patients exhibited higher rates of complications (16% vs. 7.1%; P < .001) and readmission (20% vs. 12%; P < .001) within 180 days of surgery, but no significant differences were observed in 180-day revision or mortality rates between groups.Oxygen-dependent TSA patients have higher 180-day complication and readmission rates while having similar revision and mortality rates as oxygen-independent patients. These findings should be considered by orthopedic surgeons when considering strategies for perioperative management of oxygen-dependent patients following TSA." @default.
• W2011704466 created "2016-06-24" @default.
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• W2011704466 date "1996-05-01" @default.
• W2011704466 modified "2023-10-15" @default.
• W2011704466 title "RISK FACTORS FOR THE DEVELOPMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE" @default.
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• W2011704466 doi "https://doi.org/10.1016/s0025-7125(05)70451-x" @default.
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