Patient Factors and Cost Associated with 90-Day Readmission Following Total Hip Arthroplasty

Plate, Johannes F.; Brown, Matthew L.; Wohler, Andrew; Seyler, Thorsten M.; Lang, Jason E.

doi:10.1016/j.arth.2015.07.030

Cited by 42 publications

(27 citation statements)

References 12 publications

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“…Lavernia et al [23] demonstrated that cost associated with THA can be divided into 4 categories: preoperative, intraoperative, immediate post-operative, and postdischarge. Examples of cost in the preoperative phase include time lost from work, physician visits, medical optimization, physical therapy sessions, and imaging costs [24]. Intraoperatively, cost-effectiveness studies have focused on improving surgical techniques, decreasing duration of surgery, and reducing implant cost [25–28].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Discharge Disposition on Episode-of-Care Reimbursement After Primary Total Hip Arthroplasty

Sabeh

Rosas

Buller

et al. 2017

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

The Impact of Discharge Disposition on Episode-of-Care Reimbursement After Primary Total Hip Arthroplasty

Sabeh

Rosas

Buller

et al. 2017

The Journal of Arthroplasty

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“…The total cost of hospital care gives insight into how profound the financial consequences of hospital readmission can be [10,48]. Although this type of analysis suggests that most readmissions after THA are likely not preventable, this information might be useful for internal quality metrics, as hospitals and clinicians strive to optimize their hospital networks.…”

Section: Discussionmentioning

confidence: 99%

“…Thirty-day readmissions after THA have been reported to occur in 4% and 11% of patients [6,10,20,22,31,32,48,50,61]. Considerable efforts have been devoted toward identifying patient-specific factors associated with readmission after THA.…”

Section: Introductionmentioning

confidence: 99%

Are Readmissions After THA Preventable?

Weinberg

Kraay

Fitzgerald

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…Despite an overall high success rate, up to 12% of total hip arthroplasties (THA) require revision surgery 1 , of which over 1 in 5 are second revisions 2 . The major precipitating factors for revision surgery are instability and dislocation of the implanted components, the risks of which are higher following rTHA than after primary THA 3 . By some estimates, as many as 33% of rTHA procedures ultimately require a re-revision 4 , and up to 35% of these failed revisions are a consequence of instability 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The major precipitating factors for revision surgery are instability and dislocation of the implanted components, the risks of which are higher following rTHA than after primary THA 3 . By some estimates, as many as 33% of rTHA procedures ultimately require a re-revision 4 , and up to 35% of these failed revisions are a consequence of instability 3 . Dislocation similarly contributes to rTHA, as the rate of dislocation following rTHA is up to 6 times higher than following primary THA 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Computer Navigation for Revision Total Hip Arthroplasty Reduces Dislocation Rates

Cizmic¹,

Carroll²,

Jerabek³

et al.

EPiC Series in Health Sciences

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INTRODUCTION: Computer-assisted hip navigation offers more accurate placement of hip components, potentially avoiding impingement, edge-loading, and dislocation; major causes of failure leading to revision THA. As such, the use of computer navigation may be particularly beneficial in the revision THA population. The purpose of this study was to determine if the use of computer-assisted hip navigation reduced the rate of dislocation in patients undergoing revision THA.METHODS: A retrospective review of 72 patients undergoing computer-navigated revision THA between February 2016 and May 2017 was performed. Demographics, indications for revision, type of procedure performed, and postoperative complications were collected for all patients. Clinical follow-up was recorded at 3-months, 1-year and 2-years.RESULTS: All 72 patients (48% female; 52% male) were included in the final analysis. Mean age of patients was 70.4 ± 11.2 years. Mean BMI was 26.4 ± 5.2 kg/m2. The most common indications for revision THA were instability (31%), aseptic loosening (29%), osteolysis/eccentric wear (18%), infection (11%), and miscellaneous (11%). At 3-months, 1-year, and 2-years there were no dislocations in any patients (0%). Compared to preoperative dislocation values, there was a significant reduction in the rate of dislocation with the use of computer-assisted hip navigation (31% vs. 0%; p<0.05).DISCUSSION: Our study demonstrates a significant reduction in the rate of dislocation following revision THA with the use of computer navigation. Although the cause of postoperative dislocation is often multifactorial, the use of computer-assisted surgery may help to curtail femoral and acetabular malalignment in revision THA.

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Patient Factors and Cost Associated with 90-Day Readmission Following Total Hip Arthroplasty

Cited by 42 publications

References 12 publications

The Impact of Discharge Disposition on Episode-of-Care Reimbursement After Primary Total Hip Arthroplasty

The Impact of Discharge Disposition on Episode-of-Care Reimbursement After Primary Total Hip Arthroplasty

Are Readmissions After THA Preventable?

Computer Navigation for Revision Total Hip Arthroplasty Reduces Dislocation Rates

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