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Diabetic patients have higher morbidity, mortality risk after shoulder arthroplasty
After shoulder arthroplasty, patients with preexisting diabetes had a higher risk for poorer early postoperative outcomes, including morbidity and mortality, according to study results.
Using 2011 data from the Nationwide Inpatient Sample database, researchers identified and classified 66,485 patients who underwent shoulder arthroplasty into cohorts with (21%) and without (79%) diabetes. Bivariate and multivariable analyses with logistic regression modeling were used to compare specific outcome measures between the cohorts.
The researchers found an increased incidence of inpatient complications, with the exception of infection, among patients with diabetes. There was also a higher incidence of acute kidney failure, acute myocardial infarction, pneumonia, acute posthemorrhagic anemia, need for transfusion and death.
Patients with diabetes also experienced a significantly longer hospital stays and were more often discharged to another health care facility instead of home compared with non-diabetic patients, according to study results.
Disclosure: The authors have no relevant financial disclosures.