Hypertension and postoperative complications following arthroscopic rotator cuff repair.

Background: The purpose of this study was to investigate the relationship between hypertension and postoperative complications following arthroscopic rotator cuff repair (aRCR).

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was surveyed for all patients who underwent aRCR between 2015 and 2021. Patient demographics, comorbidities, and 30-day postoperative complication data were analyzed. Multivariate logistic regression identified postoperative complications associated with hypertension.

Results: Forty-six thousand five hundred and sixty-two patients were included in the analysis: 20,999 (45.1%) patients in the hypertensive cohort and 25,563 (54.9%) in the nonhypertensive cohort. Hypertension was associated with male gender ( < .001), age ≥ 65 years  < .001), body mass index > 30 ( < .001), dependent functional status ( < .001), American Society of Anesthesiologists classification ≥ 3 ( < .001), current smoker ( < .001), diabetes ( < .001), chronic obstructive pulmonary disease ( < .001), and bleeding disorders ( < .001). Thrity-day postoperative complications significantly associated with hypertension included pneumonia ( = .012), reintubation ( = .009), urinary tract infection ( = .002), stroke ( = .044), myocardial infarction ( = .004), ventilator > 48 hours ( = .017), readmission ( < .001), non-home discharge ( < .001), and mortality ( = .020). After adjusting for patient demographics and comorbidities, readmission (odds ratio [OR] 1.41; 95% confidence interval [CI] 1.13-1.75;  = .002) was independently associated with hypertension.

Conclusion: Hypertension was identified as a risk factor for various postoperative complications following aRCR. Hypertension was found to be an independent predictor for readmission following aRCR.