Total Joint Arthroplasty Readmission Rates and Reasons for 30-Day Hospital Readmission

被引：93
|
作者：
Avram, Victoria [1 ,2 ,3 ]
Petruccelli, Danielle [1 ]
Winemaker, Mitch [1 ,2 ,3 ]
de Beer, Justin [1 ,2 ,3 ]
机构：
[1] Hamilton Hlth Sci Juravinski Hosp, Hamilton Arthroplasty Grp, Hamilton, ON L8V 1C3, Canada
[2] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada
[3] Hamilton Hlth Sci, Dept Surg, Hamilton, ON, Canada
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 03期
关键词：
total joint arthroplasty; hip arthroplasty; knee arthroplasty; readmission rate; acute hospital length of stay; TOTAL HIP-ARTHROPLASTY; LENGTH-OF-STAY; OUTCOMES; COMPLICATIONS; REPLACEMENT;
D O I：
10.1016/j.arth.2013.07.039
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Given institutional pressures to reduce hospital length of stay (LOS) we hypothesized that "failure to cope" would be a significant factor for readmission following total joint arthroplasty (TJA). A retrospective review of 4288 TJA patients was conducted to determine readmission rates and reasons for readmit within 30 days of discharge. Ninety-five patients (2.2%; 95% CI: 1.8%-2.7%) were readmitted. Leading diagnoses were surgical site infection (23.2%) and cardiovascular event (16.8%). Of readmits 5.3% (5/95) were readmitted for failure to cope, representing 0.1% of the sample. In multivariate analysis, increased age was a significant predictor of readmission (OR = 0.974, 95% CI 0.952-0.997). Contrary to our hypothesis failure to cope was not a leading diagnosis for readmission; concerns remain that early discharge may however correlate with increased readmit rates. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：465 / 468
页数：4
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