Danny Lee1, Ryan Lee2, Safa C Fassihi3, Monica Stadecker3, Jessica H Heyer4, Seth Stake3, Kyla Rakoczy5, Thomas Rodenhouse6, Rajeev Pandarinath3. 1. Department of Orthopaedic Surgery, University of Miami-Jackson Memorial Health System, Miami, Florida, USA. 2. The George Washington University School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA. 3. Department of Orthopaedic Surgery, The George Washington University Hospital, Washington, DC, USA. 4. Department of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. 5. University of Miami Miller School of Medicine, University of Miami, Miami, Florida, USA. 6. Department of Orthopaedic Surgery, University of Rochester, Rochester, New York, USA.
Abstract
Background: The purpose of this study was to determine risk factors for blood transfusion in primary anatomic and reverse total shoulder arthroplasty (TSA) performed for osteoarthritis. Methods: Patients who underwent anatomic or reverse TSA for a diagnosis of primary osteoarthritis were identified in a national surgical database from 2005 to 2018 by utilizing both CPT and ICD-9/ICD-10 codes. Univariate analysis was performed on the two transfused versus non-transfused cohorts to compare for differences in comorbidities and demographics. Independent risk factors for perioperative blood transfusions were identified via multivariate regression models. Results: 305 transfused and 18,124 nontransfused patients were identified. Female sex (p<0.001), age >85 years (p=0.001), insulin-dependent diabetes mellitus (p=0.001), dialysis dependence (p=0.001), acute renal failure (p=0.012), hematologic disorders (p=0.010), disseminated cancer (p<0.001), ASA ≥ 3 (p<0.001), and functional dependence (p=0.001) were shown to be independent risk factors for blood transfusions on multivariate logistic regression analysis. Conclusion: Several independent risk factors for blood transfusion following anatomic/reverse TSA for osteoarthritis were identified. Awareness of these risk factors can help surgeons and perioperative care teams to both identify and optimize high-risk patients to decrease both transfusion requirements and its associated complications in this patient population. Level of Evidence: III.
Background: The purpose of this study was to determine risk factors for blood transfusion in primary anatomic and reverse total shoulder arthroplasty (TSA) performed for osteoarthritis. Methods: Patients who underwent anatomic or reverse TSA for a diagnosis of primary osteoarthritis were identified in a national surgical database from 2005 to 2018 by utilizing both CPT and ICD-9/ICD-10 codes. Univariate analysis was performed on the two transfused versus non-transfused cohorts to compare for differences in comorbidities and demographics. Independent risk factors for perioperative blood transfusions were identified via multivariate regression models. Results: 305 transfused and 18,124 nontransfused patients were identified. Female sex (p<0.001), age >85 years (p=0.001), insulin-dependent diabetes mellitus (p=0.001), dialysis dependence (p=0.001), acute renal failure (p=0.012), hematologic disorders (p=0.010), disseminated cancer (p<0.001), ASA ≥ 3 (p<0.001), and functional dependence (p=0.001) were shown to be independent risk factors for blood transfusions on multivariate logistic regression analysis. Conclusion: Several independent risk factors for blood transfusion following anatomic/reverse TSA for osteoarthritis were identified. Awareness of these risk factors can help surgeons and perioperative care teams to both identify and optimize high-risk patients to decrease both transfusion requirements and its associated complications in this patient population. Level of Evidence: III.
Authors: A Jordan Grier; Abiram Bala; Colin T Penrose; Thorsten M Seyler; Michael P Bolognesi; Grant E Garrigues Journal: J Shoulder Elbow Surg Date: 2017-01-30 Impact factor: 3.019
Authors: Jolene C Hardy; Man Hung; Brian J Snow; Cody L Martin; Robert Z Tashjian; Robert T Burks; Patrick E Greis Journal: J Shoulder Elbow Surg Date: 2012-08-29 Impact factor: 3.019
Authors: Nicholas B Frisch; Nolan M Wessell; Michael A Charters; Stephen Yu; James J Jeffries; Craig D Silverton Journal: J Arthroplasty Date: 2014-05-24 Impact factor: 4.757