Thirty-Day Unplanned Readmission after Total Knee Arthroplasty at a Teaching Community Hospital: Rates, Reasons, and Risk Factors.


Journal

The journal of knee surgery
ISSN: 1938-2480
Titre abrégé: J Knee Surg
Pays: Germany
ID NLM: 101137599

Informations de publication

Date de publication:
Feb 2020
Historique:
pubmed: 11 1 2019
medline: 13 8 2020
entrez: 11 1 2019
Statut: ppublish

Résumé

Unplanned readmission after total knee arthroplasty (TKA) has an increasing prevalence in the United States. Readmissions are now a metric for hospital quality of care, yet there are mixed results and variables associated with unplanned readmission. In this changing healthcare, it is critical for community healthcare institutions to identify risk factors for unplanned readmissions following TKA. Retrospective chart review and a hospital administrative database query to report causes, demographics, and medical comorbid risk factors result in 30-day readmission after undergoing primary TKA between 2011 and 2016 at a teaching community hospital. This study identified 7,482 primary TKA procedures of which 210 (2.8%) were unplanned readmissions. Gastrointestinal bleed (9.05%) and periprosthetic infection (8.10%) were the most common causes of readmission. Age 65 and older (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.21-2.21;

Identifiants

pubmed: 30630209
doi: 10.1055/s-0038-1677510
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

206-212

Informations de copyright

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Kalain K Workman (KK)

Department of Orthopedic Surgery, UPMC-Pinnacle, Harrisburg, Pennsylvania.

Nathan Angerett (N)

Department of Orthopedic Surgery, UPMC-Pinnacle, Harrisburg, Pennsylvania.

Ronald Lippe (R)

Department of Orthopedic Surgery, UPMC-Pinnacle, Harrisburg, Pennsylvania.

Alex Shin (A)

Department of Orthopedic Surgery, UPMC-Pinnacle, Harrisburg, Pennsylvania.

Scott King (S)

Department of Orthopedic Surgery, UPMC-Pinnacle, Harrisburg, Pennsylvania.

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