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Obstructive Sleep Apnea and Arthroscopic Rotator Cuff Repair—Are Complication Rates Really Increased?

Cancienne, Jourdan M. MD; Brockmeier, Stephen F. MD; Deasey, Matthew J. MD; Werner, Brian C. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: July 1, 2019 - Volume 27 - Issue 13 - p 486–492
doi: 10.5435/JAAOS-D-18-00069
Research Article

Background: A few investigations exist which evaluate the influence of obstructive sleep apnea (OSA) on complications after arthroscopic rotator cuff repair.

Methods: A database was queried for patients undergoing rotator cuff repair with and without OSA and further subdivided into those with and without a billing code for a continuous positive airway pressure (CPAP) device. Thirty-day and 6-month adverse events were assessed.

Results: After regression analysis, patients with OSA had markedly increased emergency department visits and hospital admission (P < 0.05). This risk was mitigated by CPAP orders compared with control subjects. Patients without CPAP use had markedly increased risks of emergency department visits, hospital admission, and respiratory complications compared with control subjects (P < 0.05).

Conclusions: Patients with OSA have higher risks of emergency department visits and hospital admissions postoperatively; however, a CPAP order appears to mitigate this risk. The independent risk imparted by OSA for the studied complications was markedly lower than other comorbidities.

From the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Correspondence to Dr. Werner:

Dr. Brockmeier or an immediate family member is a member of a speakers' bureau or has made paid presentations on behalf of and serves as a paid consultant to Arthrex, Zimmer Biomet, and Exactech; has received research or institutional support from Arthrex, Zimmer Biomet; serves as a board member, owner, officer, or committee member of the American Orthopaedic Society for Sports Medicine, the American Shoulder and Elbow Surgeons, the International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine, MidAtlantic Shoulder and Elbow Society. Dr. Werner or an immediate family member serves as a board member, owner, officer, or committee member of the American Orthopaedic Society for Sports Medicine and the American Shoulder and Elbow Surgeons. Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Cancienne and Dr. Deasey.

© 2019 by American Academy of Orthopaedic Surgeons
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