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Predictors of Early Complications of Total Shoulder Arthroplasty
Authors:Peter N. Chalmers  Anil K. GuptaZain Rahman  MA  Benjamin BruceAnthony A. Romeo  MD  Gregory P. Nicholson  MD
Affiliation:Section of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois
Abstract:The authors hypothesized that age, body mass index (BMI), and medical comorbidities (graded with the Charleson Comorbidiy index [CCI]) could be used to predict early complications after TSA. The authors performed a retrospective review of primary TSAs with a minimum of 90-day follow-up. One hundred twenty-seven patients met the inclusion criteria. Complications occurred in 12 (9.4%) of patients. Major complications occurred in 1 patient (0.8%), medical in 8 (6.3%), and surgical in 4 (3.1%). CCI significantly correlated with complication rates and multivariate regression analysis demonstrated CCI to be the only significant determinant of overall complication rates (P = 0.005) and medical complication rates (P = 0.015). While BMI subgroup did not affect complication rates, transfusion rates, intra-operative blood loss, or operative time, our study may have been underpowered for this variable.
Keywords:total shoulder arthroplasty   joint replacement   complications   body mass index   comorbidity   transfusion
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