INTRODUCTION: Little is understood about the relationship between delay to treatment and initial reduction success for @entity2065 . Our study examines whether delays to initial treatment, from @entity130 , are associated with higher reduction failure rates for @entity2065 . METHODS: A retrospective database and chart review was performed for @entity1 undergoing intravenous sedation for attempted reduction of @entity2065 in the @entity341 ( @entity341 ). Stepwise regression analysis was performed to identify predictors of reduction failure. Key variables analysed were the duration of the wait in the @entity341 , the interval between the time of injury and first intervention and the interval from time of injury to arrival at the @entity341 . Possible confounding variables analysed included age, gender, dose of sedative agent, qualifications of the reducing physician and whether the dislocated shoulder was recurrent. RESULTS: The duration of the intervals from injury to first reduction attempt and from arrival at the @entity341 to first reduction attempt were both independent predictors of a higher reduction failure rate (OR=1.07, 95% CI 1.02 to 1.13; OR=1.19, 95% CI 1.05 to 1.34). Every interval of 10   min increased the odds of a failed reduction attempt by 7% and 19%, respectively. Overall, shoulder reduction was successful during the initial sedation event in 97 cases (92%) and unsuccessful in nine cases (8%). CONCLUSIONS: Delays to first reduction attempt either from the time of @entity130 are associated with a lower reduction success rate for anterior shoulder dislocations.

Delays to initial reduction attempt are associated with higher failure rates in XXXX : a retrospective analysis of factors affecting reduction failure.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity2065 :: ('MESH:D012783', 'Disease') :: ['anterior shoulder dislocation'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury or within the ED', 'injury and hospital presentation']
@entity2065 :: (MESH:D012783,Disease) :: ['anterior shoulder dislocation']
