The Association of Alcohol Use Disorder with Revision Rates and Post-operative Complications in Total Shoulder Arthroplasty

Overview

Journal Shoulder Elbow

Date 2024 May 31

PMID 38818104

Authors

Anthony K Chiu

Kendrick J Cuero

Amil R Agarwal

Samuel I Fuller

R Timothy Kreulen

Matthew J Best

Uma Srikumaran

Affiliations

Soon will be listed here.

Abstract

Background: Alcohol use disorder (AUD) is the most prevalent substance use disorder in the United States. However, the current literature on AUD as a preoperative risk factor for Total Shoulder Arthroplasty (TSA) outcomes is limited. The purpose of this study was to identify the association of AUD with revision rates and 90-day postoperative complications in TSA.

Methods: A retrospective study was conducted using the PearlDiver database. Patients diagnosed with AUD were identified. Patients in remission or with underlying cirrhosis were excluded. Outcomes included 2-year revision, 90-day readmission, 90-day emergency, and 90-day post-operative medical complications. Analysis was performed with univariate chi-squared tests followed by multivariable logistic regression.

Results: A total of 59,261 patients who underwent TSA for osteoarthritis were identified, with 1522 patients having a diagnosis of AUD. Multivariable logistic regression showed that patients with AUD were more likely to undergo 2-year all-cause revision (OR = 1.49, = 0.007), 2-year aseptic revision (OR = 1.47, = 0.014), 90-day hospital readmission (OR = 1.57, = 0.015), and 90-day transient mental disorder (OR = 2.13, = 0.026).

Conclusions: AUD is associated with increased rates of 2-year revision surgery, as well as 90-day readmission and 90-day transient mental disorder following primary TSA for osteoarthritis. These findings may assist orthopedic surgeons in counseling patients with AUD during the pre-operative course.

Citing Articles

Potential perioperative cardiovascular outcomes in cannabis/cannabinoid users. A call for caution.

Echeverria-Villalobos M, Guevara Y, Mitchell J, Ryskamp D, Conner J, Bush M Front Cardiovasc Med. 2024; 11:1343549.

PMID: 38978789 PMC: 11228818. DOI: 10.3389/fcvm.2024.1343549.

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