European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
Anesthetic technique is associated with complication risk and healthcare utilization following total shoulder arthroplasty
By Haj Shehadeh T, Dieterle H, Chaudhry J and 2 others.
Abstract
Purpose
Compare perioperative complications and healthcare utilization among total shoulder arthroplasty (TSA) patients receiving general (GA), regional (RA), or combined anesthesia (RA + GA).
Methods
Using the TriNetX database, patients undergoing primary TSA were identified and stratified into three groups based on anesthetic technique: GA, RA, and combined RA + GA. 1:1 Propensity score matching was performed to using the GA cohort as reference to control for baseline demographic and clinical covariates. Outcomes of interest included 90-day complication rates including UTI, venous thromboembolism (VTE), acute kidney injury (AKI), prosthetic joint infection (PJI), pneumonia, constipation, and revision TSA, emergency department (ED) visits and hospital readmission, Foley catheter insertion, postoperative opioid prescriptions and mean opioid number of prescriptions. Statistical significance was set at p < 0.05.