ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Postoperative outcomes linked to congestive heart failure in arthroscopic rotator cuff repair.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
purposeThis study aimed to explore potential complications and risk factors associated with arthroscopic rotator cuff repair (aRCR) in patients with congestive heart failure (CHF).
methodsThis study examined all individuals who underwent aRCR from 2015 to 2021, sourced from the American College of Surgeons National Surgical Quality Improvement database. The analysis encompassed patient demographics, comorbidities, and 30-day postoperative complications. Logistic regression was employed to analyze the postoperative complications linked to patients with CHF.
resultsCompared to patients without CHF, patients with CHF undergoing aRCR were independently associated with a significantly greater likelihood of experiencing any complication (OR 3.21, 95% CI 1.89-5.48; P < .001), sepsis (OR 13.04, 95% CI 2.45-69.31; P = .003), cardiac event (OR 7.76, 95% CI 1.59-37.97; P = .011), readmission (OR 3.61, 95% CI 1.78-7.35; P < .001), and nonhome discharge (OR 5.43, 95% CI 2.27-13.02; P < .001).
conclusionCHF was identified as an independent risk factor for experiencing any complication, sepsis, cardiac event, readmission, and nonhome discharge in patients undergoing aRCR. The increased risk of postoperative complications in CHF patients after aRCR highlights the need for diligent preoperative management of these patients to reduce the risk of severe complications and enhance surgical outcomes. LEVEL OF EVIDENCE: Level III; Retrospective Cohort Comparison Using Large Database; Prognosis Study.
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