Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
October 13, 2026 · via Europe PMC
Arthroscopic Bankart Repair Is Associated With Lower 90-Day Emergency Department Use Than Open Repair, With Smoking, Medicaid Insurance, and Depression as Additional Independent Predictors.
Smith-Voudouris J, Sanchez JG, Zehner KM, +5 more, Grauer JN.
AI summary — for doctors, generated from the abstract only
Nearly 8% of patients visited the emergency department within 90 days of Bankart repair, with open surgery, smoking, Medicaid insurance and depression among the independent predictors.
What was studied
Retrospective national administrative database study (PearlDiver M170, 2010 to 2023 Q1) of primary arthroscopic or open Bankart repair. Multivariable logistic regression identified predictors of ED visits within 90 days, and among ED users the weekly timing and primary diagnoses were described.
Key findings
- Of 149,024 patients (95.5% arthroscopic), 11,760 (7.9%) visited the ED, and 25.8% of visits occurred in the first 2 postoperative weeks
- Strongest predictors were recent smoking (odds ratio 2.99), Medicaid insurance (2.03), depression (1.70), prior opioid use (1.56) and social determinants of health (1.55)
- Open surgical approach (1.34) and female sex (1.33) were also independent predictors, and shoulder pain was the most common shoulder-related reason for presentation
Clinical relevance
Surgeons and care teams can identify patients at higher risk of unplanned ED visits, particularly in the first two weeks, and target pain counseling, mental health and social support, and smoking cessation beforehand.
Who should care
Limitations
Claims data cannot capture severity, surgical details such as instability pattern, or ED visits outside the database. Retrospective Level III design means associations are not causal, and the abstract's results text is partly cut off (the P value list and the decreasing-order list end abruptly).
ED use after Bankart repair is common early on and clusters in patients with modifiable and social risk factors; arthroscopic repair was associated with fewer visits than open.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Purpose
To characterize the timing, frequency, and predictors of 90-day emergency department (ED) visits after Bankart repair using a national administrative database.
Methods
Patients undergoing primary arthroscopic or open Bankart repair were identified from the 2010 to 2023 Q1 PearlDiver M170 database. Patients with infection or neoplasm within 90 days preoperatively or less than 90 days of database follow-up were excluded. Multivariable logistic regression identified independent predictors of ED visits within 90 days postoperatively. Among ED users, weekly visit timing was compared with a baseline rate (range of rates from postoperative weeks 53-57), and primary diagnoses at 1, 2, and 3 months were categorized.
Results
Of 149,024 patients (age 33.4 years, 66.1% men, 95.5% arthroscopic), 11,760 (7.9%) visited the ED, with 25.8% of visits occurring during the first 2 postoperative weeks. Independent predictors of ED use included (in decreasing odds ratio order) recent smoking (odds ratio 2.99), Medicaid insurance (2.03), depression (1.70), prior opioid use (1.56), social determinants of health (1.55), diabetes (1.45), Medicare insurance (1.36), open surgical approach (1.34), female sex (1.33), body mass index ≥ 30 (1.24), Midwest region (1.21), and age (1.01. per year decrease) (P < .001 for all). Shoulder-related visits accounted for 33.2% of ED encounters in month 1, declining to 17.6% and 13.0% by months 2 and 3, with shoulder pain as the leading subcategory at every postoperative month.
Conclusions
After Bankart repair, nearly 8% of patients presented to the ED within 90 days, with the highest incidence occurring during the first 2 postoperative weeks. The strongest independent predictors of ED visits included smoking (odds ratio 2.99), Medicaid insurance (2.03), depression (1.70), prior opioid use within 6 months (1.56), social determinants of health (1.55), diabetes (1.45), Medicare insurance (1.36), open surgical approach (1.34), and female sex (1.33). Shoulder pain was the most common shoulder-related reason for ED presentation across all 3 postoperative months.
Level of evidence
Level III, retrospective comparative study.
DOI
10.1002/arj.70639
PMID
42870481
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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