Christopher A Wang1, Joseph R Palmer1, Michael O Madden1, Wayne Cohen-Levy2, Rushabh M Vakharia3, Martin W Roche3. 1. Broward Health Medical Center, Department of Orthopedic Surgery Ft. Lauderdale, FL, 33316, USA. 2. University of Miami Hospital, Department of Orthopedic Surgery, Miami, FL, 33136, USA. 3. Holy Cross Hospital, Orthopedic Research Institute, Ft. Lauderdale, FL, 33308, USA.
Abstract
INTRODUCTION: The study evaluated whether sleep apnea (SA) patients undergoing total shoulder arthroplasty (TSA) are at greater odds of: 1) medical complications; 2) implant-related complications; 3) readmission rates; and 4) costs. METHODS: Complications and readmissions were assessed using logistic regression analysis. Welch's t-test was used to compare CCI and cost between cohorts. RESULTS: 33,366 patients equally distributed in both cohorts. SA increased the odds of medical [Odds-ratio (OR)]: 2.52, p < 0.001) and implant-related complications (OR: 1.43, p < 0.001). Readmission rates were similar to controls (OR: 0.99, p = 0.878), whereas costs were higher (p < 0.001). CONCLUSION: SA increases complications and costs following TSA.
INTRODUCTION: The study evaluated whether sleep apnea (SA) patients undergoing total shoulder arthroplasty (TSA) are at greater odds of: 1) medical complications; 2) implant-related complications; 3) readmission rates; and 4) costs. METHODS: Complications and readmissions were assessed using logistic regression analysis. Welch's t-test was used to compare CCI and cost between cohorts. RESULTS: 33,366 patients equally distributed in both cohorts. SA increased the odds of medical [Odds-ratio (OR)]: 2.52, p < 0.001) and implant-related complications (OR: 1.43, p < 0.001). Readmission rates were similar to controls (OR: 0.99, p = 0.878), whereas costs were higher (p < 0.001). CONCLUSION: SA increases complications and costs following TSA.
Entities:
Keywords:
Database; Medicare; Reimbursements; Sleep apnea; Total shoulder arthroplasty
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