Understanding Readmission After Primary Total Hip and Knee Arthroplasty: Who’s at Risk?

Abstract Readmission has been cited as an important quality measure in the Patient Protection and Affordable Care Act. We queried an electronic database for all patients who underwent Total Hip Arthroplasty or Total Knee Arthroplasty at our institution from 2006 to 2010 and identified those readmitt...

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Bibliographic Details
Published in:	The Journal of arthroplasty 2014-02, Vol.29 (2), p.256-260
Main Authors:	Saucedo, James M., MD, MBA, Marecek, Geoffrey S., MD, Wanke, Tyler R., BS, Lee, Jungwha, PhD, MPH, Stulberg, S. David, MD, Puri, Lalit, MD, MBA
Format:	Article
Language:	eng
Subjects:	Adult Aged Aged, 80 and over arthroplasty Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - statistics & numerical data Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - statistics & numerical data Humans Joint Diseases - surgery Middle Aged Orthopedics Patient Readmission - statistics & numerical data predictors readmission Risk Factors
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Summary:	Abstract Readmission has been cited as an important quality measure in the Patient Protection and Affordable Care Act. We queried an electronic database for all patients who underwent Total Hip Arthroplasty or Total Knee Arthroplasty at our institution from 2006 to 2010 and identified those readmitted within 90 days of surgery, reviewed their demographic and clinical data, and performed a multivariable logistic regression analysis to determine significant risk factors. The overall 90-day readmission rate was 7.8%. The most common readmission diagnoses were related to infection and procedure-related complications. An increased likelihood of readmission was found with coronary artery disease, diabetes, increased LOS, underweight status, obese status, age (over 80 or under 50), and Medicare. Procedure-related complications and wound complications accounted for more readmissions than any single medical complication.
ISSN:	0883-5403 1532-8406