Complications and Readmissions Following Reverse Total Shoulder Arthroplasty with Same-Day Discharge

Abstract

Abstract Background: Recent studies have demonstrated the safety of anatomic total shoulder arthroplasty (TSA) in an outpatient setting. No clinical studies to date have specifically analyzed complication and readmission rates following RTSA with same-day discharge. The purpose of this study was to compare the 90-day complication and readmission rates of patients undergoing reverse total shoulder arthroplasty (RTSA) who were discharged to home on the same day with those of patients who were admitted to the inpatient setting for at least one night. Methods: 135 consecutive patients who underwent 144 RTSA between were analyzed. Suitability for same-day discharge was determined preoperatively using standardized criteria. Operative time, 90-day readmission and complication rates, as well as ASA class and Charlson Comorbidity Index scores were recorded and compared between groups. Differences between the patients undergoing inpatient RTSA (Group 1) versus RTSA with same-day discharge (Group 2) were evaluated with student's t-test, Mann-Whitney, or Chi square as statistically appropriate, and reported as p-values. Results: Group 1 was significantly older than Group 2 when analyzed as a whole (74.3 years vs. 67.5 years, p Conclusion: RTSA with same-day discharge is a safe option for appropriately selected patients. Same-day discharge does not increase 90-day readmission and complication rates following RTSA. Level of Evidence: Level III