Postoperative Outcomes Linked to Congestive Heart Failure in Arthroscopic Rotator Cuff Repair

Abstract Purpose: This study aims to explore potential complications and risk factors associated with arthroscopic rotator cuff repair (aRCR) in patients with congestive heart failure (CHF). Methods: This study examined all individuals who underwent aRCR from 2015 to 2021, sourced from the American College of Surgeons National Surgical Quality Improvement database. The analysis encompassed patient demographics, comorbidities, and 30-day postoperative complications. Logistic regression was employed to analyze the postoperative complications linked to patients with CHF. Results: Compared to patients without CHF, patients with CHF undergoing aRCR were independently associated with a significantly greater likelihood of experiencing any complication (OR 3.21, 95% CI 1.89-5.48; P < .001), sepsis (OR 13.04, 95% CI 2.45-69.31; P = .003), cardiac event (OR 7.76, 95% CI 1.59-37.97; P = .011), readmission (OR 3.61, 95% CI 1.78-7.35; P < .001), and non-home discharge (OR 5.43, 95% CI 2.27-13.02; P < .001). Conclusion: CHF was identified as an independent risk factor for experiencing any complication, sepsis, cardiac event, readmission, and non-home discharge in patients undergoing aRCR. The increased risk of postoperative complications in CHF patients after aRCR highlights the need for diligent preoperative management of these patients to reduce the risk of severe complications and enhance surgical outcomes. Level of evidence: Level III; Retrospective Cohort Comparison Using Large Database; Prognosis Study