Outcomes of reverse shoulder arthroplasty as a day case procedure: a population-based cohort study using the National Joint Registry and Hospital Episode Statistics.

IF 1.7 4区 医学 Q3 SURGERY
O O'Malley, A Davies, A Rangan, S Sabharwal, P Reilly
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引用次数: 0

Abstract

Introduction: Reverse shoulder arthroplasty (RSA) is the most common shoulder replacement in the United Kingdom and has traditionally been an inpatient procedure. Advances in anaesthetic and surgical techniques have made day case RSA increasingly popular, yet published data on its outcomes are limited. This study assesses the outcomes of day case RSA using the National Joint Registry (NJR).

Methods: NJR data (April 2012-March 2022) were linked with Hospital Episode Statistics. All patients undergoing RSA for any indication were included. Primary outcomes were revision surgery rates; secondary outcomes included non-revision reoperation, medical complications requiring readmission and patient-reported outcomes for day case vs non-day case patients.

Results: Among 320 day case and 25,748 non-day case RSA patients, day case patients were younger, predominantly male and had lower comorbidity scores. Day case revision rates were 1.45% at 1 year, 1.93% at 3 and 5 years, and 3.96% at 7 years compared with 1.76%, 2.84%, 3.53% and 4.35% for non-day cases. Readmissions for medical complications occurred in 1.56% of day case patients vs 6.34% of non-day cases. Mean Oxford Shoulder Score improvements were 19.83 (±11.32) and 19.16 (±11.80) for day and non-day case groups, respectively.

Conclusion: Day case RSA demonstrates low revision, reoperation and complication rates, with similar patient satisfaction to non-day cases. These findings highlight the safety of day case RSA with careful patient selection and its potential to improve healthcare efficiency from a policy perspective.

反向肩关节置换术作为一项日常手术的结果:一项基于人群的队列研究,使用国家联合登记和医院事件统计。
简介:反向肩关节置换术(RSA)是英国最常见的肩关节置换术,传统上一直是住院手术。麻醉和手术技术的进步使得日间病例RSA越来越受欢迎,但关于其结果的公开数据有限。本研究使用国家联合登记处(NJR)评估日病例RSA的结果。方法:NJR数据(2012年4月- 2022年3月)与医院发作统计数据相关联。所有因任何适应症接受RSA的患者均被纳入。主要结局是翻修手术率;次要结果包括未翻修的再手术、需要再入院的医疗并发症和患者报告的日间病例与非日间病例患者的结果。结果:在320例即日病例和25748例非即日病例RSA患者中,即日病例患者年龄较小,以男性为主,合并症评分较低。1年、3年、5年、7年日病例修正率分别为1.45%、1.93%、3.96%,非日病例修正率分别为1.76%、2.84%、3.53%、4.35%。因医疗并发症再入院的日病例为1.56%,非日病例为6.34%。日间和非日间病例组的平均牛津肩部评分改善分别为19.83(±11.32)和19.16(±11.80)。结论:当日病例RSA翻修率低,再手术率低,并发症发生率低,患者满意度与非当日病例相似。这些发现强调了日间病例RSA的安全性和谨慎的患者选择,以及从政策角度提高医疗效率的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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