Study finds, Rotator cuff repair in HIV-positive patients in
A Study was conducted to examine the postoperative complications associated with rotator cuff repair (RCR) in HIV-positive patients ages 65 and older.

Subjects were selected using Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes. Demographics including were collected. Complications were examined at 7-day, 30-day, and 90-day postoperative time points.

Results:
--The study included 152,114 patients who underwent RCR, with 24,486 patients who were HIV-positive.

--Following univariate analysis, patients with HIV were observed to be more likely to develop 7-day, 30-day, and 90-day postoperative complications.

--However, the absolute risk of each complication was quite low for HIV-positive patients. Univariate and multivariate analysis showed that within 7 days following surgery, patients with HIV were more likely to develop myocardial infarction and sepsis.

--Within 30 days, HIV-positive patients were at increased risk for postoperative anemia, blood transfusion, heart failure, and sepsis. Within 90 days, mechanical complications were increased in the HIV-positive group.

Conclusively, postoperative complications of RCR occurred at increased rates in the HIV-positive group compared to the HIV-negative group in patients ages 65 and older. In particular, increased risk for myocardial infarction, sepsis, heart failure, anemia, and mechanical complications was noted in HIV-positive patients. However, the actual percentage of patients who experienced each complication was low, indicating RCR is likely safe to perform even in older HIV-positive patients.

Source: https://link.springer.com/article/10.1007/s00167-021-06685-7
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