Role of Sociodemographic, Co-morbid and Intraoperative Factors in Length of Stay Following Primary Total Hip Arthroplasty

Journal of Arthroplasty

Volumn 30, Issue 12, 2015, Pages 2092-2097

  Inneh, Ifeoma A ^a   Iorio, Richard ^a   Slover, James D ^a   Bosco, Joseph A ^a  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

Author keywords

Hip arthroplasty; Length of stay; Long length of hospital stay; SES; Socioeconomic status; THA

Indexed keywords

AGE; AGED; AMERICAN SOCIETY OF ANESTHESIOLOGISTS SCORE; ARTICLE; BODY MASS; CARDIOVASCULAR DISEASE; COMORBIDITY; DEMOGRAPHY; DISEASE ASSOCIATION; ETHNICITY; FEMALE; GENERAL ANESTHESIA; HUMAN; INTRAOPERATIVE PERIOD; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OPERATION DURATION; RACE DIFFERENCE; RESPIRATORY TRACT DISEASE; RISK FACTOR; SCORING SYSTEM; SEX DIFFERENCE; SOCIAL STATUS; TOTAL HIP PROSTHESIS; UROGENITAL TRACT DISEASE; ADULT; HIP REPLACEMENT; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEW YORK; OSTEOARTHRITIS, HIP; RETROSPECTIVE STUDY; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; COMORBIDITY; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; LENGTH OF STAY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEW YORK CITY; OSTEOARTHRITIS, HIP; RETROSPECTIVE STUDIES; RISK FACTORS; SOCIOECONOMIC FACTORS; YOUNG ADULT;

EID: 84952874630     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2015.06.054     Document Type: Article

References (48)

1. Collins T.C., Daley J., Henderson W.H., et al. Risk factors for prolonged length of stay after major elective surgery. Ann Surg 1999, 230(2):251.
2. Agency for Healthcare Research and Quality (AHRQ) Introduction to resource use/efficiency measures: selecting quality and resource use measures-a decision guide for community quality collaboratives Available and accessed on June 20, 2014 via. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/perfmeasguide/perfmeaspt3.html.
3. Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project: mobility/orthopedic procedures 2003 to 2012. Report #2012-03 2012.
4. Hollowell J., Grocott M.P.W., Hardy R., et al. Major elective joint replacement surgery: socioeconomic variations in surgical risk, postoperative morbidity and length of stay. J Eval Clin Pract 2010, 16:529.
5. Becker G., Newsom E. Socioeconomic status and dissatisfaction with health care among chronically ill African Americans. Am J Public Health 2003, 93(5):742.
6. Agabiti N., Picciotto S., Cesaroni G., et al. The influence of socioeconomic status on utilization and outcomes of elective total hip replacement: a multicity population-based longitudinal study. Int J Qual Health Care 2007, 19(1):37.
7. Husted H., Holm G., Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop 2008, 79(2):168.
8. Dall G.F., Ohly N.E., Ballantyne J.A., et al. The influence of pre-operative factors on the length of in-patient stay following primary total hip replacement for osteoarthritis: a multivariate analysis of 2302 patients. J Bone Joint Surg (Br) 2009, 91(4):434.
9. Foote J., Panchoo K., Blair P., et al. Length of stay following primary total hip replacement. Ann R Coll Surg Engl 2009, 91(6):500.
10. Abbas K., Umer M., Qadir I., et al. Predictors of length of hospital stay after total hip replacement. J Orthop Surg 2011, 19(3):284.
11. O'Malley N.T., Fleming F.J., Gunzler D.D., et al. Factors independently associated with complications and length of stay after hip arthroplasty: analysis of the national surgical quality improvement program. J Arthroplasty 2012, 27(10):1832.
12. Crawford D.A., Scully W., McFadden L., et al. Preoperative predictors of length of hospital stay and discharge disposition following primary total knee arthroplasty at a military medical center. Mil Med 2011, 176(3):304.
13. Panteli M., Shama'u Habeeb, McRoberts J., et al. Enhanced care for primary hip arthroplasty: factors affecting length of hospital stay. Eur J Orthop Surg Traumatol 2014, 24:353.
14. Carter E.M., Potts H.W.W. Predicting length of stay from an electronic patient record system: a primary total knee replacement example. BMC Med Inform Decis Mak 2014, 14:26.
15. Rissanen P., Aro S., Paavolainen P. Hospital- and patient-related characteristics determining length of hospital stay for hip and knee replacements. Int J Technol Assess Health Care 1996, 12(2):325.
16. Raut S., Mertes S.C., Muniz-Terrera G., et al. Factors associated with prolonged length of stay following a total knee replacement in patients aged over 75. Int Orthop 2012, 36(8):1601.
17. Inneh I.A., Lewis C.G., Schutzer S.F. Focused risk analysis: regression model based on 5,314 total hip and knee arthroplasty patients from a single institution. J Arthroplasty 2014, S0883-5403(14):00314.
18. Blum M.A., Singh J.A., Lee G.C., et al. Patient race and surgical outcomes after total knee arthroplasty: an analysis of a large regional database. Arthritis Care Res (Hoboken) 2013, 65(3):10.
19. United States Census Bureau's American Community Survey (ACS) 2006-2010.
20. Hosmer D.W., Lemeshow S. Applied logistic regression 2004, Wiley, New York. 2nd ed.
21. IBM Corp IBM SPSS for Windows. Version 21.0 2011, IBM Corp, Armonk, NY, [Released].
22. Gagarine A., Urschel J.D., Miller J.D., et al. Preoperative and intraoperative factors predictive of length of hospital stay after pulmonary lobectomy. Ann Thorac Cardiovasc Surg 2003, 9(4):222.
23. Gruskay J., Fu M.C., Bohl D.D., et al. Factors affecting length of stay following elective posterior lumbar spine surgery: a multivariate analysis. Spine J 2013, S1529-9430(13):01617.
24. Trouillet J.L., Chastre J., Vuagnat A. Ventilator-associated pneumonia caused by potentially drug-resistant bacteria. Am J Respir Crit Care Med 1998, 157:531. [cited by Gruskay J, Fu MC, Bohl DD, Webb ML, Grauer JN. Factors affecting length of stay following elective posterior lumbar spine surgery: a multivariate analysis. Spine J 2013; S1529-9430(13): 01617-3].
25. Kollef M.H. Inadequate antimicrobial treatment: an important determinant of outcome for hospitalized patients. Clin Infect Dis 2000, 31:S131. [cited by Gruskay J, Fu MC, Bohl DD, Webb ML, Grauer JN. Factors affecting length of stay following elective posterior lumbar spine surgery: a multivariate analysis. Spine J 2013; S1529-9430(13): 01617-3].
26. White R.H., Romano P.S., Zhou H., et al. Incidence and time course of thromboembolic outcomes following total hip or knee arthroplasty. Arch Intern Med 1998, 158:152. [cited by Gruskay J, Fu MC, Bohl DD, Webb ML, Grauer JN. Factors affecting length of stay following elective posterior lumbar spine surgery: a multivariate analysis. Spine J 2013; S1529-9430(13): 01617-3].
27. White R.H., Zhou H., Romano P.S. Length of hospital stay for treatment of deep venous thrombosis and the incidence of recurrent thromboembolism. Arch Intern Med 1998, 158:1005. [cited by Gruskay J, Fu MC, Bohl DD, Webb ML, Grauer JN. Factors affecting length of stay following elective posterior lumbar spine surgery: a multivariate analysis. Spine J 2013; S1529-9430(13): 01617-3].
28. Michalka P.K.R., Khan R.J.K., Scaddan M.C., et al. The influence of obesity on early outcomes in primary hip arthroplasty. J Arthroplasty 2012, 3:291.
29. Department of Health and Human Services, Centers for Medicare and Medicaid Services Justification of cost estimates for appropriations committees 2013.
30. Galobardes B., Shaw M., Lawlor D.A., et al. Indicators of socioeconomic position (parts I & II). J Epidemiol Community Health 2006, 60(1):7. [95-101].
31. Haider A.H., Scott V.K., Rehman K.S., et al. Racial disparities in surgical care and outcomes in the United States: a comprehensive review of patient, provider, and systemic factors. J Am Coll Surg 2013, 216(3):482.
32. Styron J.F., Koroukian S.M., Klika A.K., et al. Patient vs. provider characteristics impacting hopsital lengths of stay after total knee or hip arthroplasty. J Arthroplasty 2011, 26:1418.
33. Sadr Azodi O., Bellocco R., Eriksson K., et al. The impact of tobacco use and body mass index on the length of stay in hospital and the risk of post-operative complications among patients undergoing total hip replacement. J Bone Joint Surg (Br) 2006, 88-B:1316.
34. Epstein A.M., Read J.L., Hoefer M. The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. Am J Public Health 1987, 77(8):993.
35. Dowsey M.M., Liew D., Stoney J.D., et al. The impact of pre-operative obesity on weight change and outcome in total knee replacement: a prospective study of 529 consecutive patients. J Bone Joint Surg (Br) 2010, 92(4):513.
36. Bozic K.J., Durbhakula S., Berry D.J., et al. Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty: a multicenter study. J Arthroplasty 2005, 20:17.
37. Bozic K.J., Katz P., Cisternas M., et al. Hospital resource utilization for primary and revision total hip arthroplasty. J Bone Joint Surg Am 2005, 87:570.
38. Ong K.L., Mowat F.S., Chan N., et al. Economic burden of revision hip and knee arthroplasty in medicare enrollees. Clin Orthop Relat Res 2006, 446:22.
39. Macfarlane A.J., Prasad G.A., Chan V.W., et al. Does regional anaesthesia improve outcome after total hip arthroplasty? A systematic review. Br J Anaesth 2009, 103(3):335.
40. Hu S., Zhang Z.Y., Hua Y.Q., et al. A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis. J Bone Joint Surg (Br) 2009, 91(7):935.
41. Oldmeadow L.B., McBurney H., Robertson V.J. Predicting risk of extended inpatient rehabilitation after hip or knee arthroplasty. J Arthroplasty 2003, 18:775.
42. Krieger N. Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology. Am J Public Health 1992, 82:703.
43. Burstin H.R., Lipsitz S.R., Brennan T.A. Socioeconomic status and risk for substandard medical care. JAMA 1992, 2687:2383.
44. Carr-Hill R., Rice N. Is enumeration district level an improvement on ward level analysis in studies of deprivation and health?. J Epidemiol Community Health 1995, 49(2):S28.
45. Chu D.I., Moreira D.M., Gerber L., et al. Effects of race and socioeconomic status on surgical margins and biochemical outcomes in an equal-access healthcare setting. Cancer 2012, 118:4999.
46. Subherwal S., Patel M.R., Tang F., et al. Socioeconomic disparities in the use of cardioprotective medications among patients with peripheral artery diseases. J Am Coll Cardiol 2013, 62(1):51.
47. Agarwal S., Garg A., Parashar A., et al. Outcomes and resource utilization in st-elevation myocardial infarction in the United States: evidence for socioeconomic disparities. J Am Heart Assoc 2014, 3:e001057.
48. Landrine H., Corral I. Advancing research on racial-ethnic health disparities: improving measurement equivalence in studies with diverse samples. Front Public Health 2014, 2(282):1.