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International Orthopaedics

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01-02-2015 | Original Paper

National trends and perioperative outcomes in primary and revision total shoulder arthroplasty

Trends in total shoulder arthroplasty

Authors: Brian E. Schwartz, David D. Savin, Ari R. Youderian, David Mossad, Benjamin A. Goldberg

Published in: International Orthopaedics | Issue 2/2015

Abstract

Introduction

Total shoulder arthroplasty (TSA) is a highly successful procedure for management of glenohumeral arthritis, fractures and rotator cuff tears. The purpose of this study was to evaluate patient demographics, perioperative outcomes and assess recent national trends in both primary and revision TSA.

Methods

The National Hospital Discharge Survey database was searched for patients admitted to US hospitals for primary and revision TSA from 2001 to 2010.

Results

A total of 1,297 patients who underwent primary TSA and 184 patients who underwent revision TSA were identified. The rates of primary TSA (r = 0.88) and revision TSA (r = 0.85) both demonstrated a strong positive correlation with time. The mean patient age of the primary group was significantly higher than the revision group. Gender was not significantly different between the groups. There was no significant difference in the racial make-up between the revision and primary groups. African Americans accounted for 3.3 % of primaries versus 4.3 % of revisions (p = 0.615). Revision TSA patients had a significantly longer average LOS (3.06 days vs 2.46 days, p < 0.01), more medical comorbidities (6.0 vs 5.1 comorbidities, p < 0.01) and a higher rate of developing a myocardial infarction (2.2 % versus 0 %, p < 0.01) than the primary TSA group.

Conclusions

This study demonstrates that the rate of TSA is rapidly increasing in the US, with over a four-fold increase in revisions and five-fold increase in primaries over the ten years studied.

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Title: National trends and perioperative outcomes in primary and revision total shoulder arthroplasty
Trends in total shoulder arthroplasty
Authors: Brian E. Schwartz
David D. Savin
Ari R. Youderian
David Mossad
Benjamin A. Goldberg
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 2/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2614-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

National trends and perioperative outcomes in primary and revision total shoulder arthroplasty

Trends in total shoulder arthroplasty

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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