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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۷، صفحات ۴۸۷-۴۹۳
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عنوان انگلیسی The Impact of Preoperative Co-morbidities on Blood Transfusion Requirements Following Reverse Total Shoulder Arthroplasty
چکیده انگلیسی مقاله Objectives: Reverse total shoulder arthroplasty (RTSA) continues to increase in popularity as a surgical operation in the United States. As indications for this procedure expand, more attention is needed to evaluate perioperative risk factors and patient characteristi cs. Postoperative anemia requiring blood transfusion (BT) is a well-documented risk factor for increased in-house mortality although little has been studied on the relationship between RTSA and postoperative BT. The purpose of this study was to identify comorbidities and patient characteristics as risk factors for BT in patient’s undergoing RTSA.Methods: Using the Nationwide Inpatient Sample (NIS) database, 59,925 RTSA patients (2016-2019) were analyzed, with 1.96% requiring postoperative BT. Demographics, comorbidities, and preoperative factors were compared between BT and non-BT groups via univariate and multivariate analyses.Results: Overall prevalence of blood transfusion in all patients was 1.96%. Male sex (OR 1.75, p < 0.001), Asian ethnicity (OR 1.96, p = 0.012), age >80 (OR 1.51, p < 0.001), age >90 (OR 2.26, p < 0.001), CKD (OR 1.94, p < 0.001), and Parkinson’s disease (OR 2.08, p < 0.001) were associated with increased BT odds. Cirrhosis exhibited the highest impact (OR 5.7, p < 0.001). Conversely, Caucasian ethnicity (OR 0.76, p = 0.023), uncomplicated DM (OR 0.73, p = 0.002), tobacco-related disorders (OR 0.43, p < 0.001), BMI >30 (OR 0.8, p = 0.011), and elective procedures (OR 0.16, p < 0.001) decreased BT odds.Conclusion: These results were useful with identifying several risk factors that predispose to a higher risk of postoperative BT in patients undergoing RTSA including male sex, people of Asian descent, age > 80, CKD, Parkinson’s disease, and cirrhosis. These findings provide clinicians with information that may be helpful with preoperative planning and perioperative management of complex patient populations. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Blood Transfusion Requirements, Nationwide inpatient sample, Preoperative Co-morbidities, reverse total shoulder arthroplasty
نویسندگان مقاله | Alexander Turner
University of Texas Southwestern Medical Center, Dallas, Texas, USA


| Hunter Jones
Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA


| Phil Serbin
Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA


| Senthil Sambandam
Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_24473.html
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نوع مقاله منتشر شده RESEARCH PAPER
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