Retrospective observational study of reversed shoulder arthroplasties by proximal humeral fracture. Analysis of preoperative risk factors as well as minor and major complications at the first week, 90 days and 1 year.
The study is a multicenter retrospective observational study (3 centers). Data are collected from 105 patients over 65 years-old undergoing reversed shoulder arthroplasties by proximal humerus fractures, in 3 or 4 parts. Patient information is obtained from the clinical records in their usual preoperative assessment, and follow-up on the usual routine checks, at the first week, 90 days and 1 year. Minor and major complications rates are evaluated according to preoperative risk (ASA), underlying diseases and according to anticoagulant / antiaggregant treatments. Likewise, transfusion rates related to ASA, as well as length of hospital stay related to it.
Study Type
OBSERVATIONAL
Enrollment
105
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
RECRUITINGNumber of patients affected by minor complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
Minor complications are medical complications, which usually don't affect to the functional outcome of arthroplasties
Time frame: First week after surgery
Number of patients affected by minor complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
Minor complications are medical complications, which usually don't affect to the functional outcome of arthroplasties
Time frame: 90 days after surgery
Number of patients affected by minor complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
Minor complications are medical complications, which usually don't affect to the functional outcome of arthroplasties
Time frame: 1 year after surgery
Number of patients affected by major complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
Major complications are surgical complications( dislocation, periprosthetic fracture, infection) which usually affect to the functional outcome and can lead to a revision surgery
Time frame: First week after surgery
Number of patients affected by major complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
Major complications are surgical complications( dislocation, periprosthetic fracture, infection) which usually affect to the functional outcome and can lead to a revision surgery
Time frame: 90 days after surgery
Number of patients affected by major complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.
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Major complications are surgical complications( dislocation, periprosthetic fracture, infection) which usually affect to the functional outcome and can lead to a revision surgery
Time frame: 1 year after surgery
Number of patients affected by minor complications after surgery, according to underlying disease
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: First week after surgery
Number of patients with cardiovascular diseases affected by minor complications after surgery
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: 90 days after surgery
Number of patients with cardiovascular diseases affected by minor complications after surgery
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: 1 year after surgery
Number of patients with cardiovascular diseases affected by major complications after surgery
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: First week after surgery
Number of patients with cardiovascular diseases affected by major complications after surgery
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: 90 days after surgery
Number of patients with cardiovascular diseases affected by major complications after surgery
Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.
Time frame: 1 year after surgery
Number of patients undergoing anticoagulant treatment with minor complications
Previous acenocoumarol treatment
Time frame: First week after surgery
Number of patients undergoing anticoagulant treatment with major complications
Previous acenocoumarol treatment
Time frame: First week after surgery
Number of patients undergoing anticoagulant treatment with minor complications
Previous acenocoumarol treatment
Time frame: 90 days after surgery
Number of patients undergoing anticoagulant treatment with major complications
Previous acenocoumarol treatment
Time frame: 90 days after surgery
Number of patients undergoing antiplatelet treatment with minor complications
Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel
Time frame: First week after surgery
Number of patients undergoing antiplatelet treatment with major complications
Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel
Time frame: First week after surgery
Number of patients undergoing antiplatelet treatment with minor complications
Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel
Time frame: 90 days after surgery
Number of patients undergoing antiplatelet treatment with major complications
Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel
Time frame: 90 days after surgery
Transfusion rates according to the preoperative ASA group
Number of transfusion requirement.
Time frame: 1 week after surgery
Length of hospital stay according to the preoperative ASA group
Length from the surgical intervention according to ASA risk
Time frame: 1 week after surgery