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Perioperative Complications in Reversed Shoulder Arthroplasties

Conditions
Proximal Humeral Fracture
Registration Number
NCT03243409
Lead Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
105
Inclusion Criteria
  • Complex( 3- or 4-part) humerus fractures undergoing reversed shoulder arthroplasties.
Exclusion Criteria
  • No exclusion criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients affected by minor complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.1 year after surgery

Minor complications are medical complications, which usually don't affect to the functional outcome of arthroplasties

Number of patients affected by major complications according to preoperative risk (ASA) in reversed shoulder arthroplasties due to complex proximal humeral fractures.1 year after surgery

Major complications are surgical complications( dislocation, periprosthetic fracture, infection) which usually affect to the functional outcome and can lead to a revision surgery

Secondary Outcome Measures
NameTimeMethod
Number of patients affected by minor complications after surgery, according to underlying diseaseFirst week after surgery

Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.

Number of patients with cardiovascular diseases affected by minor complications after surgery1 year after surgery

Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.

Number of patients with cardiovascular diseases affected by major complications after surgery1 year after surgery

Underlying diseases group: cardiovascular, neurological, rheumatic, psychiatric, neoplasic.

Number of patients undergoing anticoagulant treatment with minor complications90 days after surgery

Previous acenocoumarol treatment

Number of patients undergoing anticoagulant treatment with major complications90 days after surgery

Previous acenocoumarol treatment

Number of patients undergoing antiplatelet treatment with minor complications90 days after surgery

Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel

Number of patients undergoing antiplatelet treatment with major complications90 days after surgery

Previous Acetylsalicylic acid (Aspirin), triflusal, ticlopidine, clopidogrel or prasugrel

Transfusion rates according to the preoperative ASA group1 week after surgery

Number of transfusion requirement.

Length of hospital stay according to the preoperative ASA group1 week after surgery

Length from the surgical intervention according to ASA risk

Trial Locations

Locations (1)

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

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