Format

Send to

Choose Destination
J Arthroplasty. 2015 Dec;30(12):2086-91. doi: 10.1016/j.arth.2015.05.040. Epub 2015 May 30.

Patient Selection in Short Stay Total Hip Arthroplasty for Medicare Patients.

Author information

1
Exponent, Inc., Menlo Park, California.
2
Exponent, Inc., Philadelphia, Pennsylvania.
3
Dept of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas.
4
University of Louisville, Dept. of Orthopaedic Surgery, KentuckyOne Health, Louisville, Kentucky.

Abstract

There is a trend towards shortening inpatient hospital stays following total hip arthroplasty (THA) in an effort to reduce healthcare costs and potentially decrease complications. The purpose of this study was to identify patients who are at risk for readmission, complications, and mortality after short stay THA. The Medicare sample (1997-2011) was used to identify THA patients with 1-2-day (Group A, n=2949) or 3-day (Group B, n=8707) stays. Complication risks were similar between groups, though there was a reduced risk for hospitalization for Group A (adjusted hazard ratio=0.90, P=0.029). These findings suggest that age and comorbidities, particularly diabetes and cardiovascular conditions, have the greatest effect on readmission and event risk after short stay THA.

KEYWORDS:

complications; length of stay; readmission; short-stay; total hip arthroplasty

PMID:
26115979
DOI:
10.1016/j.arth.2015.05.040
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center