Hospital stay, discharge location impact readmissions following total joint replacement: 3 study insights

A study in the Journal of Arthroplasty found that extended hospital stay for total joint replacement is associated with readmission risk.

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The researchers identified 1,329 lower extremity total joint patients enrolled in CMS’ Bundled Payments for Care Improvement program. They analyzed associations between hospital length of stay and 90-day readmission risk, while controlling for demographic factors like sex, age, comorbidities and discharge locations.

 

Here’s what you need to know:

 

1. Hospital lengths of stay greater than four days were significantly associated with unplanned readmissions within 90 days.

 

2. For patients who underwent total knee arthroplasty, discharge to a location other than home was also significantly associated with unplanned readmissions within 90 days.

 

3. The researchers conclude that increased length of stay is a significant risk factor for unplanned readmissions; however, they emphasize that their findings were limited to the Medicare population.

 

More articles on orthopedics:
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Outpatient status reduces infection, morbidity for ankle fracture patients: 3 study insights
How common is venous thromboembolism after total joint arthroplasty? 5 study insights

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