{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T00:22:06Z","timestamp":1793751726048,"version":"4.6.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study is to use a large national database to assess short\u2010term adverse events following arthroscopic rotator cuff repair in patients 65 years and older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The ACS NSQIP database was queried to identify patients that underwent arthroscopic rotator cuff repair between December 31, 2015, and January 1, 2017. Patients were split into two groups: 1) between 40\u201065 years old and 2) 65+ years old. Cases involving open rotator cuff repair, total shoulder arthroplasty, hemiarthroplasty, and emergency surgery were excluded. Exact matching was used to control for confounding variables, including sex, body mass index (BMI), American Society of Anesthesiologists (ASA) score, operative time, and several medical comorbidities. After matching, the incidence of several 30\u2010day patient complication measures was compared between the groups. Binary logistic regression was used to identify covariates associated with various 30\u2010day complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 17,880 patients were included in the study. 69.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0= 12,404) patients were between 40 and 65 years old and 30.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0= 5,476) patients were 65+ years old. After matching, 9,210 patients were included in the final analysis. After matching, patients 65 years and older were more likely to experience 30\u2010day unplanned readmission (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .035) and overall medical complications (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .036). There were no significant differences in most 30\u2010day complication measures, including mortality (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .250), reoperation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .449), non\u2010home discharge (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .255), surgical complications (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .146), and several medical complications, including myocardial infarction (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .165), deep venous thromboembolism (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .206), pulmonary embolism (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .196), and cerebrovascular accident (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .999) between the two age groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this matched cohort study, patients 65 years and older experienced a higher rate of 30\u2010day unplanned readmission and overall medical complications following elective arthroscopic rotator cuff repair relative to patients under 65. However, these older patients did not have significantly worse rates of other 30\u2010day complication measures, including mortality, reoperation, return to the OR, and non\u2010home discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2022.04.011","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T09:13:46Z","timestamp":1653383626000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Increased 30\u2010Day Postoperative Readmission and Medical Complication Rates Among Patients 65 Years and Older Following Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"4","author":[{"given":"Mark A.","family":"Plantz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A.","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik B.","family":"Gerlach","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas C.","family":"Arpey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter R.","family":"Swiatek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Carney","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vehniah K.","family":"Tjong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,24]]},"reference":[{"key":"e_1_2_5_2_2","volume-title":"The next four decades: The older population in the United States: 2010 to 2050","author":"Vincent G.K.","year":"2010"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30417-9"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000207"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.01.016"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0173"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.670363"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.04.001"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.12.012"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.07.004"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jses.2019.07.010"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.07.385"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.09.031"},{"key":"e_1_2_5_14_2","unstructured":"ACS National Surgical Quality Improvement Programhttps:\/\/www.facs.org\/Quality\u2010Programs\/ACS\u2010NSQIP Published 2020. 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