Evidence map›Paper›PMID 39168902›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Bleeding disorder increases the risks of complications following arthroscopic rotator cuff repair.

Sophie L Bernstein, Theodore Quan, Alyssa Schreiber, Philip M Parel, Rachel Ranson, Sean Tabaie, Zachary R Zimmer, Teresa Doerre

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sophie L BernsteinUniversity of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Theodore QuanDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Alyssa SchreiberDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA. aschreiber@gwu.edu.ORCID http://orcid.org/0009-0008-9695-6977
Philip M ParelDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Rachel RansonDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Sean TabaieDepartment of Orthopaedic Surgery, Children's National Health System, Washington, DC, USA.
Zachary R ZimmerDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Teresa DoerreDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is imperative to determine patients' risk factors prior to arthroscopic rotator cuff repair (ARCR), so that the physician and patient are both aware of the possible postoperative complications. However, the impact of bleeding disorders on a patient's short-term postoperative outcome has not yet been analyzed.

methodsA national database was queried for patients undergoing ARCR from 2006 to 2018. Two patient cohorts were defined: patients with a bleeding disorder and patients without a bleeding disorder. In this analysis, outcomes including postoperative complications, hospital admission, extended length of stay, and mortality were compared between the two cohorts using bivariate and multivariate analyses.

resultsOf 33,374 patients undergoing ARCR, 32,849 patients (98.4%) did not have a bleeding disorder whereas 525 patients (1.6%) had a bleeding disorder. Following adjustment on multivariate analyses, patients with a bleeding disorder had an increased risk of postoperative transfusion (OR 8.11; p = 0.044), sepsis (OR 11.86; p = 0.003), hospital admission (OR 1.41; p = 0.008), and mortality (OR 8.10; p = 0.019).

conclusionsPatients with documented bleeding disorder have an increased risk of postoperative complications compared to patients without a bleeding disorder. Consequently, it is essential to recognize these risk factors to decrease postoperative complications to optimize patient outcomes and costs. LEVEL OF EVIDENCE: III.

Indexed as

ArthroscopyPostoperative ComplicationsRotator Cuff InjuriesAgedBlood TransfusionDatabases, FactualFemaleHemorrhagic DisordersHumansLength of StayMaleMiddle AgedRetrospective StudiesRisk FactorsSepsisArthroscopic rotator cuff repairBleeding disorderComplications

Identifiers

PMID39168902

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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.