The role of hypertensive status in the preoperative patient selection of TSA
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background This study investigates the relationship between hypertension and postoperative complications following total shoulder arthroplasty (TSA). Methods All patients who underwent TSA between 2015 and 2020 from the American College of Surgeons National Surgical Quality Improvement (NSQIP) database were surveyed. The study population was divided into patients with no hypertension and patients with hypertension. Patient demographics, comorbidities, and 30-day postoperative complications were collected. Logistic regression analysis was used to investigate the relationship between hypertension and postoperative complications. Results Compared to no hypertension, hypertension was significantly associated with an increased likelihood of experiencing sepsis ( P = 0.021), pneumonia ( P = 0.019), myocardial infarction ( P = 0.038), blood transfusions ( P = 0.006), readmission ( P < 0.001), reoperation ( P < 0.001), non-home discharge ( P < 0.001), and any complication ( P < 0.001). After accounting for significant patient variables, compared to no hypertension, hypertension was independently significantly associated with an increased likelihood of experiencing reoperation (OR 1.48; 95% CI, 1.142-1.905; P = 0.003) and any complication (OR 1.10; 95% CI, 1.008-1.205; P = 0.033). Conclusion In this study, we identified hypertension as an independent significant predictor for both reoperation and any complication following TSA. This study provides evidence for incorporating a patient's hypertensive status into preoperative screening, aiming to improve surgical candidate selection and improve surgical outcomes following TSA.
Source: JSES International
Institution: Stony Brook University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,250
OpenAlex ID: W4392111908