Conclusion There are many risk factors associated with developing an infection after elective shoulder surgery .
The findings of this systematic review are clinical ly relevant as it has been shown that infection after shoulder surgery results in poor patient-reported outcomes and pose a significant financial burden .
Purpose Infection is a concern after all orthopedic procedures , including shoulder surgery .
This systematic review of literature aim ed to determine risk factors for infection as well as the availability and effectiveness of measures utilized to prevent infection after elective shoulder surgery .
The role age plays in the outcomes and complications of shoulder arthroplasty.
BACKGROUND This investigation used age as a continuous variable to estimate implant survival and the risk of complications . METHODS Prospect ively collected data were used to analyze 5494 consecutive shoulder arthroplasties performed from 1970 to 2012 . Patients were a mean age of 67 years . The association between the age at the index procedure and the risk for each outcome was assessed using Cox regression and smoothing spline analysis . RESULTS Older age was associated with a decreased risk of revision surgery , revision for mechanical failure , and reoperation but with a higher risk for thromboembolic events . Reoperation rates also decreased in a linear fashion with older ages ( P < .001 ) . The risk of revision surgery decreased in a linear fashion between the ages of 40 and 85 , with a 3 % decreased risk of revision per 1-year increase in age ( P < .01 ) . This association held true in a multivariate model and when specific procedures were separated out . Compared with patients aged < 50 years , patients aged from 50 to 65 years ( P < .001 ) and those > 65 years ( P < .001 ) have decreased risks of revision surgery . The risk of a revision surgery in a patient aged > 50 years was significantly decreased ( ~13 % reduction in risk for each year ; P < .001 ) . There was a subtle association between older age and decreased rates of infection ( P = .01 ) . CONCLUSIONS There is a strong association between older age and decreased rates of revision surgery and reoperation after shoulder arthroplasty , with a striking association with decreased rates of mechanical failure . These are important considerations when counseling younger patients regarding their risks
Conclusion There are many risk factors associated with developing an infection after elective shoulder surgery .
The findings of this systematic review are clinical ly relevant as it has been shown that infection after shoulder surgery results in poor patient-reported outcomes and pose a significant financial burden .
Purpose Infection is a concern after all orthopedic procedures , including shoulder surgery .
This systematic review of literature aim ed to determine risk factors for infection as well as the availability and effectiveness of measures utilized to prevent infection after elective shoulder surgery .