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Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study
BACKGROUND: Hispanic patients are the youngest and fastest-growing ethnic group in the USA. Many of these patients are increasingly met with orthopedic issues, often electing to undergo corrective procedures such as reverse shoulder arthroplasty (RSA). This patient population has unique medical need...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548760/ https://www.ncbi.nlm.nih.gov/pubmed/37789382 http://dx.doi.org/10.1186/s42836-023-00206-2 |
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author | Venishetty, Nikit Sohn, Garrett Nguyen, Ivy Trivedi, Meesha Mounasamy, Varatharaj Sambandam, Senthil |
author_facet | Venishetty, Nikit Sohn, Garrett Nguyen, Ivy Trivedi, Meesha Mounasamy, Varatharaj Sambandam, Senthil |
author_sort | Venishetty, Nikit |
collection | PubMed |
description | BACKGROUND: Hispanic patients are the youngest and fastest-growing ethnic group in the USA. Many of these patients are increasingly met with orthopedic issues, often electing to undergo corrective procedures such as reverse shoulder arthroplasty (RSA). This patient population has unique medical needs and has been reported to have higher incidences of perioperative complications following major procedures. Unfortunately, there is a lack of information on the hospitalization data and perioperative complications in Hispanic patients following procedures such as RSA. This project aimed to query the Nationwide Inpatient Sample (NIS) database to assess patient hospitalization information, demographics, and the prevalence of perioperative complications among Hispanic patients who received RSA. METHODS: Information from 2016–2019 was queried from the NIS database. Demographic information, incidences of perioperative complications, length of stay, and costs of care among Hispanic patients undergoing RSA were compared to non-Hispanic patients undergoing RSA. A subsequent propensity matching was conducted to consider preoperative comorbidities. RESULTS: The query of NIS identified 59,916 patients who underwent RSA. Of this sample, 2,656 patients (4.4%) were identified to be Hispanic, while the remaining 57,260 patients (95.6%) were found to belong to other races (control). After propensity matching, Hispanic patients had a significantly longer LOS (median = 1.4 days) than the patients in the control group (median = 1.0, P < 0.001). The Hispanic patients (89,168.5 USD) had a significantly higher cost of care than those in the control group (67,396.1 USD, P < 0.001). In looking at postoperative complications, Hispanic patients had increased incidences of acute renal failure (Hispanics: 3.1%, control group: 1.1%, P = 0.03) and blood loss anemia (Hispanics: 12.7%, control group: 10.9%, P = 0.03). CONCLUSIONS: Hispanic patients had significantly longer lengths of stay, higher costs of care, and higher rates of perioperative complications compared to the control group. For patients who are Hispanic and undergoing RSA, this information will aid doctors in making comprehensive decisions regarding patient care and resource allocation. |
format | Online Article Text |
id | pubmed-10548760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105487602023-10-05 Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study Venishetty, Nikit Sohn, Garrett Nguyen, Ivy Trivedi, Meesha Mounasamy, Varatharaj Sambandam, Senthil Arthroplasty Research BACKGROUND: Hispanic patients are the youngest and fastest-growing ethnic group in the USA. Many of these patients are increasingly met with orthopedic issues, often electing to undergo corrective procedures such as reverse shoulder arthroplasty (RSA). This patient population has unique medical needs and has been reported to have higher incidences of perioperative complications following major procedures. Unfortunately, there is a lack of information on the hospitalization data and perioperative complications in Hispanic patients following procedures such as RSA. This project aimed to query the Nationwide Inpatient Sample (NIS) database to assess patient hospitalization information, demographics, and the prevalence of perioperative complications among Hispanic patients who received RSA. METHODS: Information from 2016–2019 was queried from the NIS database. Demographic information, incidences of perioperative complications, length of stay, and costs of care among Hispanic patients undergoing RSA were compared to non-Hispanic patients undergoing RSA. A subsequent propensity matching was conducted to consider preoperative comorbidities. RESULTS: The query of NIS identified 59,916 patients who underwent RSA. Of this sample, 2,656 patients (4.4%) were identified to be Hispanic, while the remaining 57,260 patients (95.6%) were found to belong to other races (control). After propensity matching, Hispanic patients had a significantly longer LOS (median = 1.4 days) than the patients in the control group (median = 1.0, P < 0.001). The Hispanic patients (89,168.5 USD) had a significantly higher cost of care than those in the control group (67,396.1 USD, P < 0.001). In looking at postoperative complications, Hispanic patients had increased incidences of acute renal failure (Hispanics: 3.1%, control group: 1.1%, P = 0.03) and blood loss anemia (Hispanics: 12.7%, control group: 10.9%, P = 0.03). CONCLUSIONS: Hispanic patients had significantly longer lengths of stay, higher costs of care, and higher rates of perioperative complications compared to the control group. For patients who are Hispanic and undergoing RSA, this information will aid doctors in making comprehensive decisions regarding patient care and resource allocation. BioMed Central 2023-10-04 /pmc/articles/PMC10548760/ /pubmed/37789382 http://dx.doi.org/10.1186/s42836-023-00206-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Venishetty, Nikit Sohn, Garrett Nguyen, Ivy Trivedi, Meesha Mounasamy, Varatharaj Sambandam, Senthil Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title | Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title_full | Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title_fullStr | Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title_full_unstemmed | Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title_short | Hospital characteristics and perioperative complications of Hispanic patients following reverse shoulder arthroplasty—a large database study |
title_sort | hospital characteristics and perioperative complications of hispanic patients following reverse shoulder arthroplasty—a large database study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548760/ https://www.ncbi.nlm.nih.gov/pubmed/37789382 http://dx.doi.org/10.1186/s42836-023-00206-2 |
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