Factors Determining Discharge Destination for Patients Undergoing Total Joint Arthroplasty

Does Health Reform Change Femoral Neck Fracture Care? A Natural Experiment in the State of Massachusetts

“…Similar factors may explain observed changes in the disposition at discharge between the 2 periods. 10,14,20 Alternatively, the significant increase in discharge to SNFs appreciated during 2008-10 may be indicative of harmonized efforts on the part of hospitals and healthcare providers to streamline the surgical treatment and rehabilitation of patients with femoral neck fractures. Similar findings have been appreciated in other works evaluating coordinated care for patients with hip fractures.…”

Risk Assessment Tools Used to Predict Outcomes of Total Hip and Total Knee Arthroplasty

“…The study concluded that higher ASA, increased LOS, increased self-reported postoperative pain, and decreased physical therapy achievements are associated with discharge to a SNF. 19 …”

Comparison of outcome measures from different pathways following total knee arthroplasty

“…(6) Sharareh et al reported that higher ASA scores, slower 'Timed Get Up and Go' time, lower EuroQoL Quality of Life Scale (EQ-5D) scores, poor social status (living alone), increased LOS, increased postoperative pain and decreased distances walked on postoperative day 1 correlated with being sent to skilled nursing facilities. (27) The rationale for discharging older patients with worse preoperative status to CHs for rehabilitation includes the presence of 24-hour care and easier access to rehabilitation. (11) However, despite more attention and care being given, this group of patients has not shown as much improvement as patients discharged home.…”