CORRInsights®: Perioperative Risk Adjustment for Total Shoulder Arthroplasty: Are Simple Clinically Driven Models Sufficient?
There are potential risk factors for complications following total shoulder arthroplasty , a procedure that has more than tripled in incidence in the last 10 years . Reducing adverse events and readmissions after surgery are two key areas that warrant close attention when improving surgical services [4, 5].
The current study by Bernstein and colleagues compared two models that predict unplanned readmission rates and adverse events after total shoulder arthroplasty. Traditionally, clinicians identify potential risk factors by highlighting the phenotypic traits of their patients and subjecting the data to regression analyses. The disadvantage to this is that other factors deemed unimportant might be overlooked. By preoperatively identifying patients with characteristics that might lead to a higher risk of adverse events or readmissions, these models can potentially modify the risk factors ahead of treatment.