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30-Day readmissions and reoperations after total elbow arthroplasty: A National database study

Journal of Shoulder and Elbow Surgery Jul 15, 2020

Cutler HS, Collett G, Farahani F, et al. - In this study, the rate of short-term complications after total elbow arthroplasty (TEA) was ascertained, and predictors of readmission and reoperation were distinguished. Researchers applied the National Surgical Quality Improvement database years 2011-2017 to distinguish patients undergoing TEA for fracture, osteoarthritis, or inflammatory arthritis. They examined patient demographics, comorbidities, reoperations, and readmissions within thirty days of surgery. The analysis included a total of 414 patients who had undergone TEA from 2011-2017. After TEA, the 30-day unplanned reoperation rate was 2.4%, and the unplanned readmission rate was 5.1%. It was shown that low BMI was predictive of readmission. Wounds categorized as contaminated or dirty were predictive of reoperation. The data suggested that dependent functional status and contaminated wounds were predictive of local complications. It was shown that indication for TEA (fracture vs OA vs RA) was not observed to be a risk factor for reoperation or readmission after TEA.

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