Journal article
Incidence of and Risk Factors for 30-Day Readmission Following Elective Primary Total Joint Arthroplasty: Analysis From the ACS-NSQIP
The Journal of arthroplasty, Vol.28(9), pp.1499-1504
10/2013
DOI: 10.1016/j.arth.2013.06.032
PMID: 23891054
Abstract
Recently, the government has moved towards public reporting of 30-day readmission rates after elective primary total knee (TKA) and total hip arthroplasty (THA). We identified 11,814 and 8105 patients who underwent primary TKA and THA from the 2011 ACS NSQIP. Overall readmission rates within 30-days of surgery were 4.6% for TKA and 4.2% for THA. Complications associated with readmission were predominantly wound infections, sepsis, thromboembolic, cardiac, and respiratory related. In TKA, multivariate analysis identified age (P=0.002), male gender (P=0.03), cancer history (P=0.008), elevated BUN (P=0.002), a bleeding disorder (P<0.001) and high ASA class (P<0.001) as predictors of readmission. In THA, obesity (P=0.008), steroid use (P=0.037), a bleeding disorder (P=0.002), dependent functional status (P=0.022), and high ASA class (P<0.001) predicted readmission. Understanding characteristics associated with readmission will be essential for equitable patient risk stratification.
Details
- Title: Subtitle
- Incidence of and Risk Factors for 30-Day Readmission Following Elective Primary Total Joint Arthroplasty: Analysis From the ACS-NSQIP
- Creators
- Andrew J Pugely - Department of Orthopaedics and Rehabilitation, University of Iowa Carver College of Medicine, Iowa City, IowaJohn J Callaghan - Department of Orthopaedics and Rehabilitation, University of Iowa Carver College of Medicine, Iowa City, IowaChristopher T Martin - Department of Orthopaedics and Rehabilitation, University of Iowa Carver College of Medicine, Iowa City, IowaPeter Cram - Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IowaYubo Gao - Department of Orthopaedics and Rehabilitation, University of Iowa Carver College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of arthroplasty, Vol.28(9), pp.1499-1504
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.arth.2013.06.032
- PMID
- 23891054
- ISSN
- 0883-5403
- eISSN
- 1532-8406
- Language
- English
- Date published
- 10/2013
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Internal Medicine
- Record Identifier
- 9984040497602771
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