Does Discharge Disposition After Primary Total Joint Arthroplasty Affect Readmission Rates?

被引：164

作者：

Bini, Stefano A. ^{[1
]}

Fithian, Donald C. ^{[2
,3
]}

Paxton, Liz W. ^{[3
]}

Khatod, Monti X. ^{[4
]}

Inacio, Maria C. ^{[3
]}

Namba, Robert S. ^{[5
]}

机构：

[1] Kaiser Permanente Oakland EBY Med Ctr, Dept Orthopaed Surg & Podiatry, Oakland, CA 94611 USA

[2] Kaiser Permanente San Diego, Dept Orthopaed Surg & Podiatry, San Diego, CA USA

[3] Kaiser Permanente, Dept Clin Anal, Surg Outcomes & Anal Unit, San Diego, CA USA

[4] Kaiser Permanente Baldwin Pk, Dept Orthopaed Surg & Podiatry, Baldwin Pk, CA USA

[5] Kaiser Permaneme Orange Cty, Dept Orthopaed Surg & Podiatry, Orange, CA USA

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 01期

关键词：

total hip; total knee; skilled nursing; readmission; complications; STATES MEDICARE POPULATION; TOTAL HIP-REPLACEMENT; PULMONARY-EMBOLISM; KNEE REPLACEMENT; OUTCOMES;

D O I：

10.1016/j.arth.2008.11.007

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：

We reviewed 90-day readmission rates for 9150 patients with a primary total hip or knee arthroplasty performed between April 2001 and December 2004. Patients with an American Society of Anesthesiologists score of 3 or greater or with perioperative complications were excluded. We correlated the readmission rate with discharge disposition to either skilled nursing facilities (SNFs) or Home. Of the 9150 patients identified, 1447 were discharged to an SNF. After statistically adjusting for sex, age and American Society of Anesthesiologists scores, total hip arthroplasty and total knee arthroplasty patients discharged to SNFs had higher odds of hospital readmission within 90 days of surgery than those discharged home (total hip arthroplasty: odds ratio = 1.9; 95% confidence interval, 1.2-3.2; P = .008; total knee arthroplasty: odds ratio = 1.6; 95% confidence interval, 1.1-2.4; P = .01). Healthy patients discharged to SNFs after primary total joint arthroplasty need to be followed closely for complications.

引用

页码：114 / 117

页数：4

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