Patient Selection in Short Stay Total Hip Arthroplasty for Medicare Patients

Scott T. Lovald; Kevin L. Ong; Edmund C. Lau; Girish P. Joshi; Steven M. Kurtz; Arthur L. Malkani

doi:10.1016/j.arth.2015.05.040

Patient Selection in Short Stay Total Hip Arthroplasty for Medicare Patients

Scott T. Lovald, Kevin L. Ong, Edmund C. Lau, Girish P. Joshi, Steven M. Kurtz, Arthur L. Malkani

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

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.

Original language	English (US)
Pages (from-to)	2086-2091
Number of pages	6
Journal	Journal of Arthroplasty
Volume	30
Issue number	12
DOIs	https://doi.org/10.1016/j.arth.2015.05.040
State	Published - Dec 1 2015

Keywords

Complications
Length of stay
Readmission
Short-stay
Total hip arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2015.05.040

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title = "Patient Selection in Short Stay Total Hip Arthroplasty for Medicare Patients",

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",

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AU - Lovald, Scott T.

AU - Ong, Kevin L.

AU - Lau, Edmund C.

AU - Joshi, Girish P.

AU - Kurtz, Steven M.

AU - Malkani, Arthur L.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - 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.

AB - 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.

KW - Complications

KW - Length of stay

KW - Readmission

KW - Short-stay

KW - Total hip arthroplasty

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Patient Selection in Short Stay Total Hip Arthroplasty for Medicare Patients

Abstract

Keywords

ASJC Scopus subject areas

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