The association of alcohol use disorder with perioperative outcomes after primary total shoulder arthroplasty for glenohumeral osteoarthritis: a retrospective matched cohort study

Ashraf, Asad; Swiggett, Samuel J.; Golub, Ivan J; Weisberg, Miriam D.; Diamond, Keith B.; Choueka, Jack

doi:10.1053/j.sart.2021.11.005

Cited by 1 publication

(4 citation statements)

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“…15 Subsequent studies corroborate increased 90-day complication rates in patients with AUD, although their data is limited to that prior to 2014 and has not investigated revision rates. 13,14 It is worth noting that cirrhosis is a known risk factor for increased complications following joint replacement surgery. Studies in the TKA and THA literature report cirrhosis to be associated with increased rates of readmission, prosthetic joint infection, and the need for revision surgery.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…12 Subsequent studies have shown an association between alcohol use and in-hospital medical complications after TSA, but they investigated older data prior to 2014 and have not assessed revision risk. 13,14 We hypothesized that AUD may lead to a higher rate of revision surgery and post-operative complications in patients undergoing primary TSA. The purpose of this study was to identify the 2-year revision and 90-day postoperative outcomes for patients undergoing TSA in the United States from 2010 to 2020 with a preoperative diagnosis of AUD, compared to those undergoing TSA without AUD.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association of alcohol use disorder with revision rates and post-operative complications in total shoulder arthroplasty

et al. 2023

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Background Alcohol use disorder (AUD) is the most prevalent substance use disorder in the United States. However, the current literature on AUD as a preoperative risk factor for Total Shoulder Arthroplasty (TSA) outcomes is limited. The purpose of this study was to identify the association of AUD with revision rates and 90-day postoperative complications in TSA. Methods A retrospective study was conducted using the PearlDiver database. Patients diagnosed with AUD were identified. Patients in remission or with underlying cirrhosis were excluded. Outcomes included 2-year revision, 90-day readmission, 90-day emergency, and 90-day post-operative medical complications. Analysis was performed with univariate chi-squared tests followed by multivariable logistic regression. Results A total of 59,261 patients who underwent TSA for osteoarthritis were identified, with 1522 patients having a diagnosis of AUD. Multivariable logistic regression showed that patients with AUD were more likely to undergo 2-year all-cause revision (OR = 1.49, p = 0.007), 2-year aseptic revision (OR = 1.47, p = 0.014), 90-day hospital readmission (OR = 1.57, p = 0.015), and 90-day transient mental disorder (OR = 2.13, p = 0.026). Conclusions AUD is associated with increased rates of 2-year revision surgery, as well as 90-day readmission and 90-day transient mental disorder following primary TSA for osteoarthritis. These findings may assist orthopedic surgeons in counseling patients with AUD during the pre-operative course.

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Section: Discussionmentioning

confidence: 99%