NDLI: Readmission Rates in Total Hip Arthroplasty: A Granular Analysis?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lavernia, Carlos J. Villa, Jesus M.
Spatial Coverage	United States
Description	Author Affiliation: Lavernia CJ ( The Center for Advanced Orthopedics at Larkin Hospital, South Miami, Florida.); Villa JM ( The Center for Advanced Orthopedics at Larkin Hospital, South Miami, Florida)
Abstract	A deeper understanding of readmissions in arthroplasty is warranted. We wanted to determine in primary THA patients: readmission rates; baseline characteristics of patients with/without readmissions; and readmission reasons. 201 consecutive patients were studied. Preoperative characteristics, patient-perceived-outcomes, and hip-scores were compared between patients with and without readmissions. Rates were 1% (readmitted n=2; 15-days), 3.5% (7; 30-days), 6.5% (13; 90-days), and 16.9% (34; 1-year). Readmitted patients had significantly worse preoperative comorbidities/outcome-scores when compared to non-readmitted patients. 'Surgical-site infection' was the most frequent readmission reason within 30/90days. Within 1year, it was another elective joint. Fifty percent of readmissions were not related to the index-surgery (15-days). Preoperative health status affects rates. Many rehospitalizations are not related to the index-surgery and probably unpreventable.
File Format	HTM / HTML
ISSN	08835403
Issue Number	7
Volume Number	30
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Methods Statistics & Numerical Data Patient Readmission Adult Aged Economics Comorbidity Female Humans Male Medicare Middle Aged Patient Protection And Affordable Care Act Postoperative Period Retrospective Studies Surgical Wound Infection Epidemiology Treatment Outcome United States Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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