Evidence map›Paper›PMID 31534483›Full record

ArticleShoulder & elbow2019

Risk factors for and timing of adverse events after revision total shoulder arthroplasty.

Aakash Keswani, Debbie Chi, Andrew J Lovy, Daniel A London, Paul J Cagle, Bradford O Parsons, Joseph A Bosco

Open access · greenAbstract read
In one paragraph

Article in Shoulder & elbow, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Dehydration independently predicts prolonged hospital stay following aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  5. Hypoalbuminemia predicts early postoperative complications following noninfectious revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  6. The association of hyponatremia and early postoperative complications in aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  7. Article
  8. Article
  9. Trends in outcomes following aseptic revision shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Aakash KeswaniDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.
Debbie ChiDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.ORCID https://orcid.org/0000-0001-7818-3482
Andrew J LovyDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.
Daniel A LondonDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.ORCID https://orcid.org/0000-0002-1711-0762
Paul J CagleDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.ORCID https://orcid.org/0000-0002-9617-8369
Bradford O ParsonsDepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA.
Joseph A BoscoDepartment of Orthopaedic Surgery, NYU Langone Medical Center, New York, NY, USA.
Mount Sinai Hospital · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite increasing rates of revision total shoulder arthroplasty (RTSA), there is a paucity of literature on optimizing perioperative outcomes. The purposes of this study were to identify risk factors for unplanned readmission and perioperative complications following RTSA, risk-stratify patients based on these risk factors, and assess timing of complications.

methodsBivariate and multivariate analyses of risk factors were assessed on RTSA patients from the ACS-NSQIP database from 2011 to 2015. Patients were risk-stratified and timing of severe adverse events and cause of readmission were evaluated.

resultsOf 809 RTSA patients, 61 suffered a perioperative complication or readmission within 30 days of discharge. Multivariate analysis identified operative time, BMI > 40, infection etiology, high white blood cell count, and low hematocrit as significant independent risk factors for 30-day complications or readmission after RTSA (p ≤ 0.05). Having at least one significant risk factor was associated with 2.71 times risk of complication or readmission within 15 days compared to having no risk factors (p < 0.001). The majority of unplanned readmission, return to the operating room, open/deep wound infection, and sepsis/septic shock occurred within two weeks of RTSA. DISCUSSION: Patients at high risk of complications and readmission after RTSA should be identified and optimized preoperatively to improve outcomes and lower costs.

Indexed as

complicationslength of stayreadmissionrevision total shoulder arthroplastyrisk factorstotal shoulder arthroplasty

Identifiers

PMID31534483
PMCPMC6739747
OpenAlexW2808422349

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.