The effect of hospital volume on length of stay, re-admissions, and complications of total hip arthroplasty: A population-based register analysis of 72 hospitals and 30,266 replacements

Acta Orthopaedica

Volumn 82, Issue 1, 2011, Pages 20-26

  Mäkelä, Keijo T ^a   Häkkinen, Unto ^b   Peltola, Mikko ^b   Linna, Miika ^b   Kröger, Heikki ^c   Remes, Ville ^d  

^a TURKU UNIVERSITY HOSPITAL   (Finland)

^b NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^c KUOPIO UNIVERSITY HOSPITAL   (Finland)

^d PEIJAS HOSPITAL   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DISLOCATION; FINLAND; HEALTH CARE COST; HIP OSTEOARTHRITIS; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; POSTOPERATIVE COMPLICATION; PROSTHESIS INFECTION; TOTAL HIP PROSTHESIS;

ARTHROPLASTY, REPLACEMENT, HIP; CLINICAL COMPETENCE; FINLAND; FOLLOW-UP STUDIES; HIP DISLOCATION, CONGENITAL; HUMANS; LENGTH OF STAY; OSTEOARTHRITIS, HIP; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT READMISSION; PROSTHESIS FAILURE; PROSTHESIS-RELATED INFECTIONS; REGISTRIES; REOPERATION; TREATMENT OUTCOME;

EID: 79751480569     PISSN: 17453674     EISSN: 17453682     Source Type: Journal    
DOI: 10.3109/17453674.2010.533930     Document Type: Article

References (28)

1. Adeyemo D, Radley S. Unplanned general surgical re-admissions-how many, which patients an (Pubitemid 46767040)
2. Battaglia T C, Mulhall K J, Brown T E, Saleh K J. Increased surgical volume is associated with lower THA dislocation rates. Clin Orthop 2006; (447): 28-33. (Pubitemid 44324888)
3. Berger R A, Jacobs J J, Meneghini R M, Della Valle C, Paprosky W, Rosenberg A G. Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty. Clin Orthop 2004; (429): 239-47. (Pubitemid 39579219)
4. Clohisy J C, Calvert G, Tull F, McDonald D, Maloney W J. Reasons for revi-sion hip surgery: a retrospective review. Clin Orthop 2004; (429): 188-92. (Pubitemid 39579211)
5. Courtney E D, Ankrett S, McCollum P T. 28-Day emergency surgical re-admission rates as a clinical indicator of performance. Ann R Coll Surg Engl 2003; 85: 75-8. (Pubitemid 36372232)
6. Cullen C, Johnson D S, Cook G. Re-admission rates within 28 days of total hip replacement. Ann R Coll Surg Engl 2006; 88: 475-8. (Pubitemid 44390360)
7. Doro C, Dimick J, Wainess R, Upchurch G, Urquhart A. Hospital volume and inpatient mortality outcomes of total hip arthroplasty in the United States. J Arthroplasty (Suppl) 2006; 21: 10-6. (Pubitemid 44293255)
8. Gastmeier P, Sohr D, Brandt C, Eckmanns T, Behnke M, Ruden H. Reduction of orthopaedic wound infections in 21 hospitals. Arch Orthop Trauma Surg 2005; 125: 526-30. (Pubitemid 41644356)
9. Hujanen T, Kapiainen S, Tuominen U, Pekurinen M. Terveydenhuollon yksik-kökustannukset Suomessa vuonna 2006. Stakes, Työpapereita 3/2008.
10. ICD-10, International Statistical Classifcation of Diseases and Related Health Problems 10th Revision Version for 2007 WHO. www.who.int/classifca-tions/ icd/icd10online/(Date last accessed 25.10.2008)
11. Iezzoni L I. Risk adjustment for measuring health care outcomes. Health Administration Press, Chicago. 2003.
12. Judge A, Chard J, Learmonth I, Dieppe P. The effects of surgical volumes and training centre status on outcomes following total hip replacement: analysis of the Hospital Episode Statistics for England. J Public Health 2006; 28: 116-24. (Pubitemid 43966730)
13. Keskimäki I, Aro S. Accuracy of data on diagnosis, procedures and accidents in the Finnish Hospital Discharge Register. Int J Health Sci 1991; 2: 15-21.
14. Khatod M, Barber T, Paxton E, Namba R, Fithian D. An analysis of the risk of hip dislocation with a contemporary total joint registry. Clin Orthop 2006; (447): 19-23. (Pubitemid 44324886)
15. Lavernia C J, Guzman J F. Relationship of surgical volume to short-term mor-tality, morbidity, and hospital charges in arthroplasty. J Arthroplasty 1995; 10: 133-40.
16. Linna M, Häkkinen U. Benchmarking Finnish Hospitals. In: Evaluating hospital policy and performance: contributions from hospital policy and productivity research. Advances in health economics and health services research (eds Blank J, Valdmanis V), Elsevier, Oxford 2008; 18: 179-90.
17. Manley M, Ong K, Lau E, Kurtz S M. Effect of volume on total hip arthroplasty revision rates in the United States Medicare population. J Bone Joint Surg (Am) 2008; 90: 2446-51.
18. Meek R M, Allan D B, McPhillips G, Kerr L, Howie C R. Epidemiology of dislocation after total hip arthroplasty. Clin Orthop 2006; (447): 9-18. (Pubitemid 44324885)
19. Muilwijk J, Walenkamp G H, Voss A, Wille J C, van den Hof S. Random effect modelling of patient-related risk factors in orthopaedic procedures: results from the Dutch nosocomial infection surveillance network 'PREZIES'. J Hosp Infect 2006; 62: 319-26 (Pubitemid 43192323)
20. NOMESCO Classifcation of Surgical Procedures http://www.nordclass. uu.se/verksam/Ncsp1-5. (Date last accessed 7.11.2008).
21. Parvizi J, Mui A, Purtill J J, Sharkey P F, Hozack W J, Rothman RH. Total joint arthroplasty: When do fatal or near-fatal complications occur? J Bone Joint Surg (Am) 2007; 89: 27-32. (Pubitemid 46059141)
22. Peltola M, personal communication 8.9.2008, The National Research and Development Centre for Welfare and Health in Finland.
23. Phillips C B, Barrett J A, Losina E, Mahomed N N, Lingard E A, Guadag-noli E, et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the frst six months after elective total hip replacement. J Bone Joint Surg (Am) 2003; 85: 20-6. (Pubitemid 36537968)
24. Phillips J E, Crane T P, Noy M, Elliott T S, Grimer R J. The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospec-tive survey. J Bone Joint Surg (Br) 2006; 88: 943-8. (Pubitemid 44057185)
25. Ridgeway S, Wilson J, Charlet A, Kafatos G, Pearson A, Coello R. Infection of the surgical site after arthroplasty of the hip. J Bone Joint Surg (Br) 2005; 87: 844-50. (Pubitemid 40862073)
26. Shervin N, Rubash H E, Katz J N. Orthopaedic procedure volume and patient outcomes: a systematic literature review. Clin Orthop 2007; (457): 35-41. (Pubitemid 46573394)
27. Solomon D H, Losina E, Baron J A, Fossel A H, Guadagnoli E, Lingard E A, et al. Contribution of hospital characteristics to the volume-outcome rela-tionship: dislocation and infection following total hip replacement surgery. Arthritis Rheum 2002; 46: 2436-44.
28. Williams S, Bottle A, Aylin P. Length of hospital stay and subsequent emer-gency readmission. BMJ 2005; 331: 371.