Does discharge disposition after primary total joint arthroplasty affect readmission rates?

Stefano A Bini, Donald C Fithian, Liz W Paxton, Monti X Khatod, Maria C Inacio, Robert S Namba

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120 Citations (Scopus)

Abstract

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.

LanguageEnglish
Pages114-7
Number of pages4
JournalJournal of Arthroplasty
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2010

Keywords

  • Aged
  • Arthroplasty, Replacement, Hip
  • Arthroplasty, Replacement, Knee
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Patient Discharge
  • Patient Readmission
  • Skilled Nursing Facilities
  • Journal Article

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