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Ninety-day mortality after shoulder arthroplasty.
Christopher B White1, John W Sperling, Robert H Cofield
1Department of Orthopedic Surgery, Mayo Clinic Rochester, Minnesota, USA.
The Journal of Arthroplasty
|October 21, 2003
Summary
Perioperative mortality after shoulder arthroplasty is low, with a 90-day incidence of 0.58%. The study found that the underlying diagnosis was closely associated with mortality risk following shoulder replacement surgery.
Area of Science:
- Orthopedic Surgery
- Surgical Outcomes Research
- Patient Safety
Background:
- Mortality data for knee and hip arthroplasty are established.
- Limited information exists regarding perioperative mortality following shoulder arthroplasty.
- Understanding mortality risks is crucial for patient safety and surgical decision-making.
Purpose of the Study:
- To determine the incidence of 90-day mortality after shoulder arthroplasty.
- To identify risk factors associated with perioperative mortality in shoulder arthroplasty patients.
- To evaluate the relationship between underlying diagnoses and mortality risk.
Main Methods:
- Retrospective review of 2,953 shoulder arthroplasty cases performed between 1970 and 2000.
- Identification of all-cause mortality within 90 days of the surgical procedure.
- Analysis of patient diagnoses and procedure types (hemiarthroplasty vs. total shoulder arthroplasty).
Main Results:
- The overall 90-day mortality incidence was 0.58% (17 out of 2,953 patients).
- Mortality was closely associated with the underlying diagnosis for the arthroplasty.
- Specific diagnoses included pathologic fracture, rotator cuff arthropathy, trauma sequelae, rheumatoid arthritis, and avascular necrosis.
Conclusions:
- Perioperative mortality following shoulder arthroplasty is low.
- The underlying diagnosis is a significant factor influencing mortality risk.
- Shoulder arthroplasty for non-neoplastic conditions appears to have a low mortality rate.