Comparison of general versus isolated regional anesthesia in total shoulder arthroplasty: A retrospective propensity-matched cohort analysis

David Y Ding; Siddharth A Mahure; Brent Mollon; Steven D Shamah; Joseph D Zuckerman; Young W Kwon

doi:10.1016/j.jor.2017.07.002

Comparison of general versus isolated regional anesthesia in total shoulder arthroplasty: A retrospective propensity-matched cohort analysis

J Orthop. 2017 Jul 21;14(4):417-424. doi: 10.1016/j.jor.2017.07.002. eCollection 2017 Dec.

Authors

David Y Ding¹, Siddharth A Mahure¹, Brent Mollon¹, Steven D Shamah¹, Joseph D Zuckerman¹, Young W Kwon¹

Affiliation

¹ NYU Hospital for Joint Diseases, Department of Orthopaedic Surgery, 301 East 17th Street, New York, NY 10003, United States.

Abstract

Background: Intraoperative anesthetic typically consists of either general anesthesia (GA) or isolated regional anesthesia (RA).

Methods: A retrospective propensity-matched cohort analysis on patients undergoing TSA was performed to determine differences between GA and RA in regard to patient population, complications, LOS and hospital readmission.

Results: 4158 patients underwent TSA with GA or isolated RA. Propensity-matching resulted in 912 patients in each cohort. RA had lower overall in-hospital complications and greater homebound discharge disposition with lower 90-day readmission rates than GA.

Conclusion: After TSA, isolated RA was associated with lower in-hospital complications, readmission rates and odds of hospital readmission than GA.

Keywords: 90-day readmission rates; General anesthesia; Medical comorbidities; Perioperative complications; Propensity-matching; Regional anesthesia; Total shoulder arthroplasty.