The Effect of Discharge Disposition on 30-Day Readmission Rates After Total Joint Arthroplasty

被引：81

作者：

Ramos, Nicholas L. ^{[1
]}

Karia, Raj J. ^{[1
]}

Hutzler, Lorraine H. ^{[1
]}

Brandt, Aaron M. ^{[1
]}

Slover, James D. ^{[1
]}

Bosco, Joseph A. ^{[1
]}

机构：

[1] NYU, Hosp Joint Dis, New York, NY 10003 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 04期

关键词：

readmission; total joint arthroplasty; discharge disposition; outcomes; healthcare costs; REPLACEMENT SURGERY; KNEE REPLACEMENT; REHABILITATION; INPATIENT; OUTCOMES; CARE; HEALTH; HIP;

D O I：

10.1016/j.arth.2013.09.010

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：

Previous studies have demonstrated no significant difference in overall functional outcomes of patients discharged to a sub acute setting versus home with health services after total joint arthroplasty. These findings coupled with pressure to reduce health care costs and the implementation of a prospective payment system under Medicare have supported the use of home rehabilitation services and the trend towards earlier discharge after hospitalization. While the overall functional outcome of patients discharged to various settings has been studied, there is a relative dearth of investigation comparing postoperative complications and readmission rates between various discharge dispositions. Our study demonstrated patients discharged home with health services had a significantly lower 30 day readmission rate compared to those discharged to inpatient rehab facilities. Patients discharged to rehab facilities have a higher incidence of comorbidity and this association could be responsible for their higher rate of readmission. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：674 / 677

页数：4

共 16 条

[1] Does Discharge Disposition After Primary Total Joint Arthroplasty Affect Readmission Rates? [J].