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Updated: Jun 26, 2025
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Delayed elective total shoulder arthroplasty: causes and eventual outcomes
Jacqueline G Tobin1, Garrett B Neel1, Alexander S Guareschi1
1Medical University of South Carolina, Department of Orthopaedics and Physical Medicine, 96 Jonathan Lucas Street, CSB 708, Charleston, SC, 29425, USA.
Delays in total shoulder arthroplasty (TSA) are linked to older patients, higher BMI, and more comorbidities, leading to increased postoperative complications. Reducing these delays is crucial for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Healthcare Quality Improvement
Background:
- Planned total shoulder arthroplasty (TSA) is a common procedure.
- Delays in surgical scheduling can impact patient outcomes and resource utilization.
Purpose of the Study:
- To identify risk factors associated with delayed total shoulder arthroplasty (TSA).
- To evaluate the perioperative outcomes of TSAs that experienced a delay.
Main Methods:
- Utilized the American College of Surgeons National Quality Improvement Program (NSQIP) database (2006-2019).
- Defined delayed TSA as surgery occurring >1 day post-admission.
- Collected and compared patient demographics, comorbidities, and postoperative complications.
Main Results:
- Delayed TSA patients were older, had higher BMI, more comorbidities, and prior major surgery.
- Higher rates of postoperative complications, return to OR, and 30-day readmission observed in delayed cases.
- The incidence of delayed TSA decreased between 2006 and 2019.
Conclusions:
- Patients with comorbidities require thorough preoperative evaluation to mitigate risks.
- Preventing same-day cancellations and postoperative complications is essential for optimizing TSA care.
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