Hypertension and postoperative complications following arthroscopic rotator cuff repair

The purpose of this study was to investigate the relationship between hypertension and postoperative complications following arthroscopic rotator cuff repair (aRCR).

The American College of Surgeons National Surgical Quality Improvement Program database was surveyed for all patients who underwent aRCR between 2015 and 2021. Patient demographics, comorbidities, and 30-day postoperative complication data were analyzed. Multivariate logistic regression identified postoperative complications associated with hypertension.

Forty-six thousand five hundred and sixty-two patients were included in the analysis: 20,999 (45.1%) patients in the hypertensive cohort and 25,563 (54.9%) in the nonhypertensive cohort. Hypertension was associated with male gender (P < .001), age ≥ 65 years (P < .001), body mass index > 30 (P < .001), dependent functional status (P < .001), American Society of Anesthesiologists classification ≥ 3 (P < .001), current smoker (P < .001), diabetes (P < .001), chronic obstructive pulmonary disease (P < .001), and bleeding disorders (P < .001). Thrity-day postoperative complications significantly associated with hypertension included pneumonia (P = .012), reintubation (P = .009), urinary tract infection (P = .002), stroke (P = .044), myocardial infarction (P = .004), ventilator > 48 hours (P = .017), readmission (P < .001), non-home discharge (P < .001), and mortality (P = .020). After adjusting for patient demographics and comorbidities, readmission (odds ratio [OR] 1.41; 95% confidence interval [CI] 1.13-1.75; P = .002) was independently associated with hypertension.

Hypertension was identified as a risk factor for various postoperative complications following aRCR. Hypertension was found to be an independent predictor for readmission following aRCR.