Reverse total shoulder arthroplasty (RTSA) has become an established treatment for cuff arthropathy, severe osteoarthritis and in certain fracture cases. Due to the increasingly aging population, patients who have already exceeded their life-expectancy pose a significant challenge to the shoulder surgeon. Therefore, we wanted to investigate patient demographics, hospital stay length, complication rate functional outcome, patient reported outcome scores and mortality retrospectively for patients, who were older than 83 years at time of implantation of a RTSA.
This is a retrospective single institution study. All patients older than 83 years who received a reverse shoulder arthroplasty from 2008 until 2019 are included. Elective cases are compared to fracture cases (patient demographics, length of hospital stay, complication rate, functional outcome, patient reported outcome scores and mortality).
Study Type
OBSERVATIONAL
Enrollment
110
Implantation of a Reverse Total Shoulder Arthroplasty
Bürgerspital Solothurn
Solothurn, Switzerland
Patient reported outcome score: ASES
American Shoulder and Elbow Society (ASES) Score
Time frame: until august 2020
Complication rate
postoperative complications requiring surgical intervention
Time frame: until august 2020
Quality adjusted life year (QALY)
The quality adjusted life year (QALY) ) is a well-established indicator of the life quality for the remaining years and was calculated as the years of life following the operation, multiplied by the utility value, for the current study, defined as the postoperative American Shoulder and Elbow Surgeons Shoulder Score (ASES) score (0-1 points) at last follow-up.
Time frame: until august 2020
Mortality
Survivership
Time frame: until august 2020
Patient reported outcome score: QuickDASH
Quick Disabilities of the arm, shoulder and hand (DASH) Score,
Time frame: until august 2020
Patient reported outcome score: VAS
Visual analog score (VAS)
Time frame: until august 2020
Patient demographics
male/female ratio, age, BMI, ASA (American Society of Anesthesiologists) classification, hospital stay length, range of motion
Time frame: at time of surgery
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