Preoperative depression is a risk factor for complication and increased health care utilization following total shoulder arthroplasty

BackgroundThe incidence of total shoulder arthroplasty (TSA) continues to increase. Although researchers expect preoperative depression influence outcomes following primary hip and knee arthroplasty, there is a paucity data on this relationship after TSA. The purpose study was define the between diagnosis postoperative TSA.MethodsThis level III retrospective cohort study. We identified patients undergoing TSA 2009 2017 from Truven MarketScan database created 2 cohorts, with without depression. included who were continuously enrolled in for 1 year preoperatively postoperatively. collected demographic data, complication health care utilization factors then performed statistical analysis comparing cohorts. This controlled baseline patient demographic, comorbid, surgical factors.ResultsWe 22,623 Of these, 3209 (14%) had Multivariate demonstrated that more common depression: sepsis (odds ratio [OR], 2.04; 95% confidence interval [CI], 1.14-3.65; P = .022), revision within (OR, 1.92; CI, 1.45-2.55; < .001), prosthetic joint infection 1.41; 1.04-1.90; .025), return operating room irrigation débridement 2.72; 1.67-4.42; 1.54; 1.26-1.88; wound 1.84; 1.2-2.79; .004). Similarly, greater including higher odds non-home discharge 1.43; 1.3-1.57; 90-day readmission 1.55; 1.3-1.86; emergency department visit 1.39; 1.23-1.57; extended length stay (?3 days; OR, 1.23; 1.12-1.36; .001).Discussion conclusionsDepression prior associated increased risk complications Determining whether modifiable factor requires further investigation. factors. .001). Depression