2021 ISAKOS Biennial Congress ePoster
Outpatient Vs. Inpatient Anatomic Total Shoulder Arthroplasty: Outcomes And Complications
Brandon Erickson, MD, New York, NY UNITED STATES
Yousef Shishani, MD, Beachwood, Ohio UNITED STATES
Stacy Jones, Beachwood UNITED STATES
Meghan E. Bishop, MD, New York, NY UNITED STATES
Anthony A. Romeo, MD, Burr Ridge, IL UNITED STATES
Reuben Gobezie, MD, Beachwood, OH UNITED STATES
Cleveland Shoulder Institute, Beachwood, Ohio, UNITED STATES
FDA Status Not Applicable
Summary
TSA performed in an outpatient setting is a safe and reliable procedure which provides significant improvement in clinical outcome scores and no difference in complication rates compared to inpatient TSA
ePosters will be available shortly before Congress
Abstract
Background
Total shoulder arthroplasty (TSA) is an effective treatment option for glenohumeral arthritis. Historically this surgery was performed on an inpatient basis. There has been a recent trend to perform TSA on an outpatient basis in the proper candidates.
Purpose
Compare the demographics, clinical outcomes, and complications between patients undergoing TSA as inpatient vs. outpatient
Hypothesis
No difference in clinical outcomes or complications between inpatient vs. outpatient TSA
Methods
All patients who underwent an outpatient TSA by a single surgeons between 2015-2017 were included. Demographic information and clinical outcomes scores (American Shoulder an Elbow Surgeons (ASES), Visual Analog Scale (VAS), Single Assessment Numerical Evaluation (SANE)), as well as data on complications, re-admission, and revision surgeries were recorded. This group of patients was then compared to a matched cohort of patients who underwent TSA in the inpatient setting.
Results
Overall, 94 patients (average age 60.4, 67.0% male), underwent outpatient TSA and were included. Patients who underwent outpatient TSA saw significant improvement in all clinical outcome scores at both 1 and 2 year postoperatively. The control group of patients who underwent TSA as an inpatient consisted of 77 patients (average age 62.6, 53.2% male). No significant differences existed in complications or improvements in clinical outcome scores between inpatients vs. outpatient groups.
Conclusion
TSA performed in an outpatient setting is a safe and reliable procedure which provides significant improvement in clinical outcome scores and no difference in complication rates compared to inpatient TSA.