Discharge Disposition Costs Following Total Shoulder Arthroplasty: A Comprehensive National Analysis
| Autor: | Samuel Rosas MD, Jennifer Kurowicki MD, Jacob J Triplet DO, Derek D Berglund MD, Brandon Horn DO, Jonathan C Levy MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of Shoulder and Elbow Arthroplasty, Vol 1 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2471-5492 24715492 |
| DOI: | 10.1177/2471549217740242 |
| Popis: | Background Total shoulder arthroplasty (TSA) is the fastest growing sector of arthroplasty in the United States. One of the greatest drivers of costs following joint replacement surgery has been shown to be discharge disposition. This study examines the costs associated in the first 90 days of care following shoulder arthroplasty with a specific focus on the effects of discharge disposition. Methods We conducted a retrospective, case–control study of the entire Medicare population from 2011 to 2014 identifying TSA patients based on International Classification of Disease ninth revision codes. Only patients with demographic and discharge information were included. Costs were analyzed based on mean reimbursements. Patients were stratified according to 4 disposition groups: home, skilled nursing facility (SNF), intermediate care facility (ICF), and inpatient rehabilitation (InR). The correlation of the Charlson Comorbidity Index (CCI) to discharge disposition was also examined. Results A total of 50 979 patients met the inclusion criteria. The mean 90-day costs for patients discharged home were $12 691 (standard deviation [SD]: $471.9), for those who went to an SNF was $15 093 (SD: $622.4), for ICF $15 473 (SD: $2366) and for those who went to InR $24 731 (SD: $1922; P |
| Databáze: | Directory of Open Access Journals |
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