Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014
| Autor: | Deirdre K. Thornlow, Scarlet Fellingham, Kayla Baba, Elizabeth Merwin, Nancy Crego, Michael P. Cary, Victoria Goode, Cathleen S. Colón-Emeric, Helen Hoenig |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Evidence-based practice Adolescent medicine.medical_treatment Arthroplasty Replacement Hip Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Patient Readmission Article 03 medical and health sciences Patient safety Young Adult 0302 clinical medicine Postoperative Complications Residence Characteristics Risk Factors Acute care medicine Humans 030212 general & internal medicine Healthcare Cost and Utilization Project Aged Retrospective Studies Aged 80 and over 030222 orthopedics Rehabilitation business.industry Procedure code Age Factors Middle Aged United States Cross-Sectional Studies Logistic Models Socioeconomic Factors Sample size determination Emergency medicine Female business |
| Zdroj: | Archives of physical medicine and rehabilitation. 99(6) |
| ISSN: | 1532-821X |
| Popis: | Objective To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. Design Retrospective cross-sectional descriptive design. Setting Community-based acute care hospitals. Participants Total sample size (N=142,022) included THR patients (identified as ICD-9-CM procedure code 81.51) in 2009 (n=31,232) and (n=32,863) in 2014. Interventions Not applicable. Main Outcome Measures 30-Day hospital readmission. Results The overall readmission rate decreased by 1.3% from 2009 to 2014. The decrease in readmission rates varied by groups, with lesser improvements seen in THR patients who were younger, with private insurance, and residing in lower-income and rural communities. Device complications were the leading cause of readmission in THR patients, increasing from 19.8% in 2009 to 23.9% in 2014. Conclusions There has been little decrease in hospital 30-day readmission rates for US community hospitals between 2009 and 2014. Findings from this brief report indicate patient groups at greater risk for 30-day hospital readmission as well as leading causes for readmission in THR patients which can inform the development of tailored interventions for reduction. |
| Databáze: | OpenAIRE |
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