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Septuagenarians versus octogenarians in elective upper extremity procedures
Po Hsun Ku1, Yeashin Nur1, Jared Sasaki1
1School of Medicine, New York Medical College, Valhalla, NY, USA.
Background:
With a rapidly aging American population, elective shoulder procedures are increasingly performed in older adults. Prior studies have largely focused on total shoulder arthroplasty, leaving limited data on outcomes across a broader range of elective shoulder procedures. This study aimed to compare postoperative outcomes between septuagenarians and octogenarians undergoing elective shoulder surgery.
Methods:
The American College of Surgeons National Surgical Quality Improvement Program database (2011-2022) was queried for patients aged 70-89 years undergoing elective shoulder procedures, and patients were stratified into septuagenarians (70-79 years) and octogenarians (80-89 years). Multivariable logistic regression analyses adjusted for demographic and clinical covariates were used to assess postoperative outcomes.
Results:
A total of 12,099 patients were included, comprising 10,810 septuagenarians (89%) and 1289 octogenarians (11%). After adjustment, octogenarians had higher odds of unplanned readmission (OR 1.57, 95% CI 1.04-2.29; p = 0.026) and non-home discharge (OR 2.44, 95% CI 1.57-3.72; p < 0.001). No significant differences were observed in overall complications, reoperation, or 30-day mortality.
Discussion:
Octogenarians undergoing elective shoulder procedures are at increased risk for readmission and non-home discharge despite similar short-term complication rates. These findings underscore the importance of perioperative planning and discharge optimization in this population.
