Hospital Acquired Conditions Are the Strongest Predictor for Early Readmission: An Analysis of 26,710 Arthroplasties

被引：29

作者：

Raines, Benjamin Todd ^{[1
,2
]}

Ponce, Brent A. ^{[3
]}

Reed, Rhiannon D. ^{[4
,5
]}

Richman, Joshua S. ^{[4
,5
]}

Hawn, Mary T. ^{[4
,5
]}

机构：

[1] Univ Missouri, Dept Orthopaed Surg, Columbia, MO 65211 USA

[2] Univ Alabama Birmingham, Sch Med, Birmingham, AL USA

[3] Univ Alabama Birmingham, Div Orthopaed Surg, Birmingham, AL USA

[4] Birmingham Vet Affairs Med Ctr, Ctr Surg Med Acute Care Res & Transit, Birmingham, AL USA

[5] Univ Alabama Birmingham, Dept Surg, Birmingham, AL USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 08期

关键词：

arthroplasty; hospital acquired conditions; readmission; strongest predictor; predictors; HAC; TOTAL JOINT ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; KNEE ARTHROPLASTY; QUALITY; REPLACEMENT; MORTALITY; OBESITY; CARE;

D O I：

10.1016/j.arth.2015.02.024

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：

100224 [整形外科学];

摘要：

Hospital readmission is a metric of hospital quality of care, yet little is known what factors predict hospital readmission following arthroplasty. Our aim was to identify variables associated with early readmission following knee and hip arthroplasty, with focus upon hospital acquired conditions (HACs). Retrospective cohort analysis using Surgical Care Improvement Project (SCIP) and Veteran's Affairs Surgical Quality Improvement Program (VASQIP) data was performed over a five-year period. Following 26,710 total and partial primary arthroplasties (16,808 knees and 9902 hips), the overall 30-day readmission was 7.3% (1940) with readmission rates of 6.6% for knee arthroplasty and 8.4% for hip arthroplasty. HACs accounted for 42% of all complications and were the strongest predictor of readmission. Efforts to reduce these events may improve cost and safety of arthroplasty. Published by Elsevier Inc.

引用

页码：1299 / 1307

页数：9

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[2]

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