ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
The impact of anemia on early postoperative complications in aseptic revision total shoulder arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study investigates the association between preoperative anemia and 30-day postoperative complications following aseptic revision total shoulder arthroplasty (TSA).
methodsThe American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent aseptic revision TSA from 2015 to 2022. The study population was divided into two cohorts based on preoperative hematocrit (HCT): normal (Male HCT ≥ 41%; Female HCT ≥ 36%) and anemia (Male HCT < 41%; Female HCT < 36%). Logistic regression analysis was conducted to investigate the relationship between anemia and postoperative complications following aseptic revision TSA.
resultsAnemia was independently associated with any complication (OR 1.71, 95% CI 1.40-2.10; P < 0.001), blood transfusions (OR 8.71, 95% CI 4.23-17.90; P < 0.001), non-home discharge (OR 1.81, 95% CI 1.26-2.60; P = 0.001), and length of stay exceeding 2 days (OR 1.81, 95% CI 1.43-2.29; P < 0.001).
conclusionPatients with anemia experienced significantly higher rates of early postoperative complications after aseptic revision TSA. These findings provide evidence for the use of preoperative HCT measurements as a practical predictor of postoperative risk in this setting. Level of Evidence Level III; Retrospective Cohort Comparison; Prognosis Study.
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