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The impact of age on 30-day complications following shoulder instability surgery

Journal of Shoulder and Elbow Surgery Jun 15, 2020

Padaki AS, Boddapati V, Lynch SL, et al. - Researchers assessed data of patients undergoing surgery for glenohumeral instability from the National Surgical Quality Improvement Program between the years of 2005 and 2016 in order to determine short-term outcomes comprising medical complications, overnight admission, and 30-day readmission with regards to patient age at the time of shoulder instability surgery. Among 5,449 included patients, 2,035 (37.0%) patients were younger than 25 years, 1,815 (33.0%) were between 25 and 34 years, and 1,649 (30.0%) were 35 and older. Increase in the risk of 30-day readmission was noted with age, ranging from 0.24% for < 25 years old to 0.92% for 35 years and older. Patients older than 25 are almost four times more likely to experience a complication even in the relatively young and healthy shoulder instability patient cohort. Risk of overnight hospital stay increased in correlation with operative duration greater than 60 minutes, duration greater than 90 minutes, and ASA class III and IV. Furthermore, Latarjet-Bristow procedures are three to four times more likely to experience a complication or readmission when compared with other shoulder instability procedures.

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