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Table 3 Multivariable Analysis of Factors Associated With Pulmonary Complications After Total Joint after Shoulder Arthroplasty (Pneumonia and Respiratory Failure)

From: Retrospective analysis of the occurrence, potential risk factors and medical significance of pulmonary complications after total shoulder arthroplasty from the National Inpatient Sample database (2010–2019)

Variable

Pneumonia

Respiratory Failure

OR

95%CI

P

OR

95%CI

P

 ≥ 60

0.66

(0.23,1.88)

0.44

1.83

(0.70,4.77)

0.21

Sex (% female)

0.75

(0.48,1.18)

0.21

0.83

(0.54,1.26)

0.38

Race (%)

 Caucasian

——

——

0.69

——

——

0.70

 African-American

1.10

(0.39, 3.12)

0.85

0.43

(0.13,1.46)

0.18

 Hispanic

1.49

(0.52, 4.23)

0.45

0.32

(0.04,2.37)

0.26

 Asian or Pacifi c Islander

3.31

(0.44, 24.98)

0.24

0

0

0.99

 Native American

3.11

(0.39, 24.68)

0.28

0

0

0.99

 Other

0.790

(0.10, 5.86)

0.81

0.83

(0.17,4.01)

0.82

Hospital bed size

 Small

——

——

0.17

——

——

0.16

 Medium

1.31

(0.68,2.50)

0.41

2.02

(0.97,4.21)

0.06

 Big

0.82

(0.45,1.50)

0.53

1.73

(0.87,3.43)

0.11

Hospital location

      

 Teaching

0.98

(0.62,1.53)

0.93

1.10

(0.46,2.63)

0.81

 Urban nonteaching

1.1

(0.41,2.94)

0.85

0.81

(0.53,1.24)

0.33

Type of insure (%)

 Medicare

——

——

 < 0.05

——

——

 < 0.05

 Medicaid

3.34

(1.14,9.77)

 < 0.05

2.01

(0.64,6.30)

0.22

 Private insurance

1.30

(0.68,2.49)

0.42

0.80

(0.42,1.54)

0.52

 Self-pay

3.87

(0.47,31.43)

0.20

7.72

(1.52,39.13)

 < 0.05

 No charge

18.38

(2.03,166.09)

 < 0.05

20.43

(2.26,184.5)

 < 0.05

 Other

2.15

(0.73,6.34)

0.16

1.82

(0.68,4.90)

0.23

CCI

0.78

(0.19,3.25)

0.74

0.79

(0.52,1.20)

0.28

Region of hospital

 Northeast

——

——

0.61

——

——

0.46

 Midwest

1.36

(0.63,2.93)

0.41

0.89

(0.44,1.79)

0.74

 South

1.47

(0.74,2.93)

0.26

1.21

(0.67,2.21)

0.51

 West

1.12

(0.50,2.49)

0.77

0.83

(0.41,1.69)

0.61

AIDS

0.00

(0.00, ——)

0.99

0.00

(0.00, ——)

0.99

Alcohol abuse

3.21

(1.16,8.89)

 < 0.05

4.74

(1.91,11.7)

 < 0.05

Defciency anemia

2.16

(1.32,3.54)

 < 0.05

1.19

(0.71,1.9)

0.49

Arthralgia

1.55

(0.30,7.83)

0.59

1.82

(0.81,4.09)

0.14

Chronic blood loss anemia

2.91

(0.87,9.71)

0.08

1.83

(0.40,8.23)

0.42

Congestive heart failure

4.09

(0.87,19.15)

0.07

5.78

(2.97,11.26)

 < 0.05

Chronic pulmonary disease

2.32

(0.51,10.42)

0.27

4.94

(2.81,8.68)

 < 0.05

Coagulopathy

1.81

(0.73,4.46)

0.19

1.34

(0.52,3.43)

0.53

Depression

1.28

(0.74,2.21)

0.37

1.19

(0.72,1.9)

0.48

Diabetes, uncomplicated

1.21

(0.26,5.57)

0.81

0.95

(0.49,1.82)

0.88

Diabetes with chronic complications

1.54

(0.06,34.65)

0.78

3.37

(1.07,10.63)

 < 0.05

Drug abuse

0.00

(0.00, ——)

0.99

0.00

(0.00, ——)

0.99

Hypertension

0.64

(0.40,1.02)

0.06

0.83

(0.53,1.31)

0.44

Hypothyroidism

1.12

(0.65,1.92)

0.67

1.01

(0.61,1.67)

0.96

Liver

1.60

(0.06,41.12)

0.77

0.00

(0.00, ——)

0.99

Lymphoma

0.00

(0.00, ——)

0.99

0.00

(0.00, ——)

0.99

Fluid and electrolyte disorders

4.02

(2.51,6.44)

 < 0.05

3.60

(2.34,5.56)

 < 0.05

Metastatic cancer

6.17

(0.09, 8.10)

0.53

30.23

(1.74,523.67)

 < 0.05

Neurological disorders

2.79

(0.60, 13.00)

0.19

1.43

(0.63,3.25)

0.39

Obesity

1.04

(0.57,1.91)

0.87

1.64

(1.02,2.64)

 < 0.05

Paralysis

0.00

(0.00, ——)

0.99

1.26

(0.12,12.73)

0.84

Peripheral vascular disorders

2.03

(0.39,2.56)

0.39

1.78

(0.73,4.34)

0.20

Psychoses

3.34

(0.17,6.87)

0.42

1.55

(0.39,6.09)

0.52

Pulmonary circulation disorders

2.69

(1.08,6.71)

 < 0.05

7.40

(4.05,13.51)

 < 0.05

Renal failure

2.16

(0.11,39.73)

0.60

3.42

(1.21, 9.66)

 < 0.05

Tumor

0.00

(0.00, ——)

0.99

0.00

(0.00, ——)

0.99

Ulcer

0.00

(0.00, ——)

0.99

7.7

(3.72, 44.60)

 < 0.05

Valvular disease

0.52

(0.18,1.51)

0.23

0.74

(0.34, 1.59)

0.44

Weight loss

6.26

(2.45,15.96)

 < 0.05

6.00

(2.38, 15.13)

 < 0.05

  1. Abbreviations: CCI Charlson Comorbidity Index, LOS Length of Stay, TSA Total Shoulder Arthroplasty, OR Odds Ratio, CI Confidence Interval