Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients

Christopher A Wang; Joseph R Palmer; Michael O Madden; Wayne Cohen-Levy; Rushabh M Vakharia; Martin W Roche

doi:10.1016/j.jor.2019.04.003

Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients

J Orthop. 2019 May 1;16(5):382-385. doi: 10.1016/j.jor.2019.04.003. eCollection 2019 Sep-Oct.

Authors

Christopher A Wang¹, Joseph R Palmer¹, Michael O Madden¹, Wayne Cohen-Levy², Rushabh M Vakharia³, Martin W Roche³

Affiliations

¹ Broward Health Medical Center, Department of Orthopedic Surgery Ft. Lauderdale, FL, 33316, USA.
² University of Miami Hospital, Department of Orthopedic Surgery, Miami, FL, 33136, USA.
³ Holy Cross Hospital, Orthopedic Research Institute, Ft. Lauderdale, FL, 33308, USA.

Abstract

Introduction: The study evaluated whether sleep apnea (SA) patients undergoing total shoulder arthroplasty (TSA) are at greater odds of: 1) medical complications; 2) implant-related complications; 3) readmission rates; and 4) costs.

Methods: Complications and readmissions were assessed using logistic regression analysis. Welch's t-test was used to compare CCI and cost between cohorts.

Results: 33,366 patients equally distributed in both cohorts. SA increased the odds of medical [Odds-ratio (OR)]: 2.52, p < 0.001) and implant-related complications (OR: 1.43, p < 0.001). Readmission rates were similar to controls (OR: 0.99, p = 0.878), whereas costs were higher (p < 0.001).

Conclusion: SA increases complications and costs following TSA.

Keywords: Database; Medicare; Reimbursements; Sleep apnea; Total shoulder arthroplasty.