Patient Expectation Is the Most Important Predictor of Discharge Destination After Primary Total Joint Arthroplasty

被引：60

作者：

Halawi, Mohamad J. ^{[1
]}

Vovos, Tyler J. ^{[2
]}

Green, Cindy L. ^{[3
]}

Wellman, Samuel S. ^{[1
]}

Attarian, David E. ^{[1
]}

Bolognesi, Michael P. ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Dept Orthopaed Surg, Durham, NC 27710 USA

[2] Duke Univ, Sch Med, Durham, NC 27710 USA

[3] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC 27710 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期

关键词：

hip; knee; arthroplasty; discharge destination; preoperative predictors; patient expectation; PROSPECTIVE PAYMENT SYSTEM; TOTAL HIP-ARTHROPLASTY; KNEE ARTHROPLASTY; MEDICARE PATIENTS; REPLACEMENT; CARE; INPATIENT; OUTCOMES; QUALITY; REHABILITATION;

D O I：

10.1016/j.arth.2014.10.031

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to identify preoperative predictors of discharge destination after total joint arthroplasty. A retrospective study of three hundred and seventy-two consecutive patients who underwent primary total hip and knee arthroplasty was performed. The mean length of stay was 2.9 days and 29.0% of patients were discharged to extended care facilities. Age, caregiver support at home, and patient expectation of discharge destination were the only significant multivariable predictors regardless of the type of surgery (total knee versus total hip arthroplasty). Among those variables, patient expectation was the most important predictor (P < 0.001; OR 169.53). The study was adequately powered to analyze the variables in the multivariable logistic regression model, which had a high concordance index of 0.969. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：539 / 542

页数：4

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