Mortality after shoulder arthroplasty.
One year post-operative mortality among patients with primary elective total shoulder arthroplasty (ETSA) and traumatic shoulder arthroplasty (TSA) were compared to the general population of a large healthcare system. Standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) were calculated. 614 ETSA patients, 1.0% one year mortality, and 168 TSA patients, 5.4% mortality rate, were evaluated. Patients with ETSA (SMR = 0.4, 95% CI 0.1-0.7) had lower odds of mortality than expected, while patients with TSA (SMR = 1.8, 95% CI 0.6-3.0) did not have higher than expected odds of mortality compared to the reference population. Understanding excess mortality following shoulder arthroplasty surgery allows providers to evaluate current practices and identify ways to optimize patients prior to surgery.
Surgical Outcomes and Analysis, Kaiser Permanente, 8954 Rio San Diego Drive, Suite 406, San Diego, California.
Maria C S
MC
Inacio
Department of Orthopedic Surgery, Permanente Medical Group, 2025 Morse Avenue, Sacramento, California.
Mark T
MT
Dillon
Department of Orthopedic Surgery, Southern California Permanente Medical Group, 4760 Sunset Boulevard, Los Angeles, California.
Alexander
A
Miric
Surgical Outcomes and Analysis, Kaiser Permanente, 8954 Rio San Diego Drive, Suite 406, San Diego, California.
Faith
F
Anthony
Department of Orthopedic Surgery, Southern California Permanente Medical Group, 25825 S. Vermont Avenue, Harbor City, CA.
Ronald A
RA
Navarro
Surgical Outcomes and Analysis, Kaiser Permanente, 8954 Rio San Diego Drive, Suite 406, San Diego, California.
Elizabeth W
EW
Paxton
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000401:mortality / Q000601:surgery; D019643:Arthroplasty, Replacement / Q000401:mortality*; D002648:Child; D002675:Child, Preschool; D019033:Delivery of Health Care, Integrated; D017558:Elective Surgical Procedures / Q000401:mortality*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000401:mortality* / Q000601:surgery*; D010020:Osteonecrosis / Q000401:mortality / Q000601:surgery; D017063:Outcome Assessment, Health Care; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D017006:Rotator Cuff / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*
elective shoulder arthroplasty; excess death; mortality; standardized mortality ratio; traumatic shoulder arthroplasty