The study “Risk factors for hospital admission following arthroscopic Bankart repair” by DeFroda and colleagues identifies several risk factors for inpatient hospital admission following arthroscopic shoulder stabilization, including diabetes, female sex, longer operative time and increasing patient age. Notably, of these factors, female sex and diabetes were the only statistically significant variables.
Of the 2,291 patients captured in the NSQIP database undergoing arthroscopic shoulder stabilization, nearly 8% required admission to the hospital following surgery. This rate is higher than what might be expected for a routine, outpatient arthroscopic procedure, and this study is certainly helpful for surgeons to better understand which patients may be at higher risk for admission after surgery, and further, will help surgeons counsel those patients appropriately.
Importantly, it is unclear if any of the patients who were admitted following surgery “planned” admissions, as that is a limitation of the NSQIP database. Further, as the authors mention, the NSQIP database does not capture procedures performed in independent surgery centers, which may potentially result in an overestimation of the inpatient admission rate. As patients undergoing outpatient surgery in independent surgery centers are generally required to be healthy enough to be discharged home on a consistent basis following surgery, the data captured in NSQIP may over-represent patients who are, by comparison, less healthy and thus may be more likely to require admission.
Overall, this is a study that provides important data and is helpful for surgeons performing arthroscopic Bankart repair.
Rachel M. Frank, MD
CU Sports Medicine and Performance Center
Department of orthopedics
University of Colorado School of Medicine
Disclosures: Frank reports no relevant financial disclosures.