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Outpatient Vs. Inpatient Anatomic Total Shoulder Arthroplasty: Outcomes And Complications

Outpatient Vs. Inpatient Anatomic Total Shoulder Arthroplasty: Outcomes And Complications

Brandon Erickson, MD, UNITED STATES Yousef Shishani, MD, UNITED STATES Stacy Jones, UNITED STATES Meghan E. Bishop, MD, UNITED STATES Anthony A. Romeo, MD, UNITED STATES Reuben Gobezie, MD, UNITED STATES

Cleveland Shoulder Institute, Beachwood, Ohio, UNITED STATES


2021 Congress   ePoster Presentation     Not yet rated

 

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Summary: TSA performed in an outpatient setting is a safe and reliable procedure which provides significant improvement in clinical outcome scores and no difference in complication rates compared to inpatient TSA


Background

Total shoulder arthroplasty (TSA) is an effective treatment option for glenohumeral arthritis. Historically this surgery was performed on an inpatient basis. There has been a recent trend to perform TSA on an outpatient basis in the proper candidates.

Purpose

Compare the demographics, clinical outcomes, and complications between patients undergoing TSA as inpatient vs. outpatient

Hypothesis

No difference in clinical outcomes or complications between inpatient vs. outpatient TSA

Methods

All patients who underwent an outpatient TSA by a single surgeons between 2015-2017 were included. Demographic information and clinical outcomes scores (American Shoulder an Elbow Surgeons (ASES), Visual Analog Scale (VAS), Single Assessment Numerical Evaluation (SANE)), as well as data on complications, re-admission, and revision surgeries were recorded. This group of patients was then compared to a matched cohort of patients who underwent TSA in the inpatient setting.

Results

Overall, 94 patients (average age 60.4, 67.0% male), underwent outpatient TSA and were included. Patients who underwent outpatient TSA saw significant improvement in all clinical outcome scores at both 1 and 2 year postoperatively. The control group of patients who underwent TSA as an inpatient consisted of 77 patients (average age 62.6, 53.2% male). No significant differences existed in complications or improvements in clinical outcome scores between inpatients vs. outpatient groups.

Conclusion

TSA performed in an outpatient setting is a safe and reliable procedure which provides significant improvement in clinical outcome scores and no difference in complication rates compared to inpatient TSA.


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