The Association of ASA Class on Total Knee and Total Hip Arthroplasty Readmission Rates in an Academic Hospital

被引：65

作者：

Schaeffer, Jordan F. ^{[1
]}

Scott, Daniel J. ^{[1
]}

Godin, Jonathan A. ^{[1
]}

Attarian, David E. ^{[1
]}

Wellman, Samuel S. ^{[1
]}

Mather, Richard C., III ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Durham, NC 27710 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 05期

关键词：

primary TKA; primary THA; ASA; readmission; clinical research; PHYSICAL STATUS CLASSIFICATION; LENGTH-OF-STAY; REPLACEMENT SURGERY; PREDICTORS;

D O I：

10.1016/j.arth.2014.12.014

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：

Total hip and knee arthroplasties are two of the most successful orthopaedic procedures. However, with the increasing demand, estimated future costs for these procedures are enormous. Recent data suggest post-discharge care may account for up to 35% of total episode payments. Yet, little is known about targets that can help improve quality and reduce cost. This retrospective study shows an ASA score of >= 3 is associated with a 2.9 times (P = 0.0082) greater risk of re-admission in total joint arthroplasty patients. The current literature corroborates this finding by demonstrating an increase risk of post-operative complications in patients with an ASA of >= 3. Therefore, the ASA score is a potential target for interventions designed to increase quality and lower cost in arthroplasty patients. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：723 / 727

页数：5

共 28 条

[1]

[Anonymous], ANN M MAY 2013

[2]

Preoperative medical evaluation in patients having joint replacement surgery: Added benefits [J].