Document Detail

Does discharge disposition after primary total joint arthroplasty affect readmission rates?
MedLine Citation:
PMID:  19150214     Owner:  NLM     Status:  MEDLINE    
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.
Stefano A Bini; Donald C Fithian; Liz W Paxton; Monti X Khatod; Maria C Inacio; Robert S Namba
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Publication Detail:
Type:  Journal Article     Date:  2009-01-15
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  25     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  114-7     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Inc. All rights reserved.
Department of Orthopaedic Surgery and Podiatry, Kaiser Permanente Oakland (EBY Medical Center), Oakland, California 94611, USA.
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MeSH Terms
Arthroplasty, Replacement, Hip*
Arthroplasty, Replacement, Knee*
Length of Stay
Middle Aged
Patient Discharge*
Patient Readmission*
Skilled Nursing Facilities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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