Understanding readmission after primary total hip and knee arthroplasty: Who's at risk?

James M. Saucedo, Geoffrey S. Marecek, Tyler R. Wanke, Jungwha Lee, S. David Stulberg, Lalit Puri

Research output: Contribution to journalArticle

92 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)256-260
Number of pages5
JournalJournal of Arthroplasty
Volume29
Issue number2
DOIs
StatePublished - Feb 1 2014

Keywords

  • Arthroplasty
  • Predictors
  • Readmission
  • Risk factors

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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