Evidence map›Paper›PMID 34239960›Full record

ArticleThe archives of bone and joint surgery2021

Short-Term Complications and Readmission Following Total Shoulder Arthroplasty: A National Database Study.

Henry M Fox, Matthew J Best, Jacob D Mikula, Keith T Aziz, Uma Srikumaran

Open access · greenAbstract read
In one paragraph

Article in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Henry M FoxDepartment of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR, USA.
Matthew J BestDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Jacob D MikulaDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Keith T AzizDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Uma SrikumaranDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Johns Hopkins Hospital · USOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of total shoulder arthroplasty (anatomic and reverse) is increasing as indications expand. The purpose of this study is to identify predictors of short-term complications and readmission following total shoulder arthroplasty for patients with glenohumeral osteoarthritis.

methodsThe American College of Surgeons National Surgical Quality Improvement Program was used to identify 12,982 patients who underwent total shoulder arthroplasty (anatomic or reverse) from 2011-2016. Demographic data, postoperative complications, and readmission within 30 days were analyzed. Multivariable logistic regression was used to determine independent risk factors for complications and for readmission occurring within 30 days of surgery.

resultsThe mean age of the cohort was 69.1 years, 56.1% were female. Mean American Society of Anesthesiologists (ASA) classification score was 2.6. The postoperative complication rate was 5.6% and the readmission rate was 2.8% within 30 days of surgery. Independent predictors for any complication included preoperative dependent functional status (OR 1.8,

conclusionPatients with age greater than 70 years, congestive heart failure, and ASA class 3 and 4 are at increased risk for postoperative complications and readmission. Preoperative risk stratification and medical optimization are important in these patients.

Indexed as

ASA ClassificationNSQIPPostoperative complicationsReadmissionTotal shoulder replacement

Identifiers

PMID34239960
PMCPMC8221432
OpenAlexW3119074968

What OpenQuestion holds

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Registered trials

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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.