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Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty.
Loyst, Rachel A; Liu, Steven H; Cerri-Droz, Patricia; Leatherwood, William; Komatsu, David E; Wang, Edward D.
Afiliación
  • Loyst RA; Department of Orthopedics, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8181, USA. Rachel.loyst@stonybrookmedicine.edu.
  • Liu SH; Department of Orthopedics, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8181, USA.
  • Cerri-Droz P; Department of Orthopedics, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8181, USA.
  • Leatherwood W; Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA.
  • Komatsu DE; Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA.
  • Wang ED; Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA.
Eur J Orthop Surg Traumatol ; 34(5): 2511-2516, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38668774
ABSTRACT

PURPOSE:

This study investigates the association between insulin-dependent and non-insulin-dependent diabetes and 30-day postoperative complications following aseptic revision total shoulder arthroplasty (TSA).

METHODS:

The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent aseptic revision TSA from 2015 to 2021. The study population was divided into three groups based on diabetic status nondiabetes, insulin-dependent diabetes, and non-insulin-dependent diabetes. Logistic regression analysis was conducted to investigate the relationship between diabetic status and postoperative complications.

RESULTS:

Compared to nondiabetes, insulin-dependent diabetes was independently associated with a significantly greater likelihood of experiencing any complication (OR 1.59, 95% CI 1.08-2.35; P = 0.020) and LOS > 2 days (OR 1.73, 95% CI 1.13-2.65; P = 0.012). Compared to nondiabetes, non-insulin-dependent diabetes was not independently associated with a significantly greater likelihood of experiencing complications. Preoperative insulin-dependent diabetic status was significantly associated with a greater rate of early postoperative complications following aseptic revision TSA, while preoperative non-insulin-dependent diabetic status was not.

CONCLUSION:

Preoperative insulin-dependent diabetic status was significantly associated with a greater rate of early postoperative complications following aseptic revision TSA. A better understanding of the role diabetes, both insulin-dependent and non-insulin-dependent, as a risk factor may help physicians better risk stratify and select surgical candidates for revision TSA.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Reoperación / Diabetes Mellitus Tipo 1 / Diabetes Mellitus Tipo 2 / Artroplastía de Reemplazo de Hombro Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Reoperación / Diabetes Mellitus Tipo 1 / Diabetes Mellitus Tipo 2 / Artroplastía de Reemplazo de Hombro Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos