{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:50:28Z","timestamp":1791960628863,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"\n Purpose<\/jats:title>\n To characterize the timing, frequency, and predictors of 90\u2010day emergency department (ED) visits after Bankart repair using a national administrative database.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients undergoing primary arthroscopic or open Bankart repair were identified from the 2010 to 2023 Q1 PearlDiver M170 database. Patients with infection or neoplasm within 90\u2009days preoperatively or less than 90\u2009days of database follow\u2010up were excluded. Multivariable logistic regression identified independent predictors of ED visits within 90 days postoperatively. Among ED users, weekly visit timing was compared with a baseline rate (range of rates from postoperative weeks 53\u201057), and primary diagnoses at 1, 2, and 3 months were categorized.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 149,024 patients (age 33.4\u2009years, 66.1% men, 95.5% arthroscopic), 11,760 (7.9%) visited the ED, with 25.8% of visits occurring during the first 2 postoperative weeks. Independent predictors of ED use included (in decreasing odds ratio order) recent smoking (odds ratio 2.99), Medicaid insurance (2.03), depression (1.70), prior opioid use (1.56), social determinants of health (1.55), diabetes (1.45), Medicare insurance (1.36), open surgical approach (1.34), female sex (1.33), body mass index \u2009\u2265\u200930 (1.24), Midwest region (1.21), and age (1.01. per year decrease) (\n P<\/jats:italic>\n \u2009<\u2009.001 for all). Shoulder\u2010related visits accounted for 33.2% of ED encounters in month 1, declining to 17.6% and 13.0% by months 2 and 3, with shoulder pain as the leading subcategory at every postoperative month.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n After Bankart repair, nearly 8% of patients presented to the ED within 90\u2009days, with the highest incidence occurring during the first 2 postoperative weeks. The strongest independent predictors of ED visits included smoking (odds ratio 2.99), Medicaid insurance (2.03), depression (1.70), prior opioid use within 6\u2009months (1.56), social determinants of health (1.55), diabetes (1.45), Medicare insurance (1.36), open surgical approach (1.34), and female sex (1.33). Shoulder pain was the most common shoulder\u2010related reason for ED presentation across all 3 postoperative months.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level III, retrospective comparative study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70639","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:39:21Z","timestamp":1791959961000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Bankart Repair Is Associated With Lower 90\u2010Day Emergency Department Use Than Open Repair, With Smoking, Medicaid Insurance, and Depression as Additional Independent Predictors"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3939-812X","authenticated-orcid":false,"given":"Julian","family":"Smith\u2010Voudouris","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9402-7148","authenticated-orcid":false,"given":"Joshua G.","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6504-5457","authenticated-orcid":false,"given":"Katie M.","family":"Zehner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2425-4251","authenticated-orcid":false,"given":"Anthony E.","family":"Seddio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Aron","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5133-9712","authenticated-orcid":false,"given":"Eisa","family":"Razzak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Loyola University Chicago Maywood Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2444-9355","authenticated-orcid":false,"given":"Mitchell J.","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Loyola University Chicago Maywood Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6125-8169","authenticated-orcid":false,"given":"Mary K.","family":"Mulcahey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Loyola University Chicago Maywood Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2626-7278","authenticated-orcid":false,"given":"Jonathan N.","family":"Grauer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"e387","DOI":"10.1016\/j.jse.2023.03.011","article-title":"Trends and projections in surgical stabilization of glenohumeral instability in the United States from 2009 to 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A systematic review of overlapping meta\u2010analyses","volume":"31","author":"Chalmers PN","year":"2015","journal-title":"Arthroscopy."},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.arthro.2019.10.022","article-title":"Arthroscopic versus open Bankart repairs in recurrent anterior shoulder instability: A systematic review of the association between publication date and postoperative recurrent instability in systematic reviews","volume":"36","author":"Gao B","year":"2020","journal-title":"Arthroscopy."},{"key":"e_1_2_9_25_1","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00402-015-2175-0","article-title":"Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: A meta\u2010analysis of clinical trial data","volume":"135","author":"Chen L","year":"2015","journal-title":"Arch Orthop Trauma 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Shoulder Elbow Surg."},{"key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jseint.2020.10.002","article-title":"Smoking as a risk factor for complications following arthroscopic rotator cuff repair","volume":"5","author":"Kashanchi KI","year":"2021","journal-title":"JSES Int."},{"key":"e_1_2_9_30_1","first-page":"232596711771316","article-title":"Comparison of 30\u2010day morbidity and mortality after arthroscopic Bankart, open Bankart, and Latarjet\u2010Bristow procedures: A review of 2864 cases","volume":"5","author":"Bokshan SL","year":"2017","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"e1683","DOI":"10.1016\/j.asmr.2022.06.015","article-title":"Alcohol abuse, morbid obesity, depression, congestive heart failure, and chronic pulmonary disease are risk factors for 90\u2010day readmission after arthroscopic rotator cuff repair","volume":"4","author":"Grewal 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