The Association Between Hospital Length of Stay and 90-Day Readmission Risk Within a Total Joint Arthroplasty Bundled Payment Initiative

Journal of Arthroplasty

Volumn 32, Issue 3, 2017, Pages 714-718

  Williams, Jarrett ^a   Kester, Benjamin S ^a   Bosco, Joseph A ^a   Slover, James D ^a   Iorio, Richard ^a   Schwarzkopf, Ran ^a  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

Author keywords

bundle payment initiative; length of stay; readmission; total hip arthroplasty; total knee arthroplasty

Indexed keywords

ADULT; AGE; AGED; ARTICLE; BUNDLE PAYMENT INITIATIVE; COMORBIDITY; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH ECONOMICS; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICARE; PATIENT CARE; RISK FACTOR; SEX DIFFERENCE; TOTAL HIP PROSTHESIS; TOTAL KNEE ARTHROPLASTY; CARE BUNDLE; ECONOMICS; HEALTH CARE COST; HIP REPLACEMENT; HOSPITAL; KNEE REPLACEMENT; MEDICAID; MIDDLE AGED; ODDS RATIO; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; UNITED STATES; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; FEMALE; HEALTH EXPENDITURES; HOSPITALS; HUMANS; LENGTH OF STAY; MALE; MEDICAID; MEDICARE; MIDDLE AGED; ODDS RATIO; PATIENT CARE BUNDLES; PATIENT DISCHARGE; PATIENT READMISSION; RETROSPECTIVE STUDIES; RISK FACTORS; UNITED STATES;

EID: 85006137652     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2016.09.005     Document Type: Article

References (43)

1. 1 Bourne, R.B., Chesworth, B.M., Davis, A.M., et al. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clin Orthop Relat Res, 468(1), 2010, 57.
2. 2 Anakwe, R.E., Jenkins, P.J., Moran, M., Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty, 26(2), 2011, 209.
3. 3 Hansson, T., Hansson, E., Malchau, H., Utility of spine surgery: a comparison of common elective orthopaedic surgical procedures. Spine, 33(25), 2008, 2819.
4. 4 Cram, P., Lu, X., Kates, S.L., et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA, 308(12), 2012, 1227.
5. 5 Kurtz, S., Ong, K., Lau, E., et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am, 89(4), 2007, 780.
6. 6 Ortman, J.M., Velkoff, V.A., Hogan, H., An aging nation: the older population in the United States. 2014, US Census Bureau, Washington, DC, 25.
7. 7 Services CfMaM. Medicare program; Comprehensive care for joint replacement payment model for acute care hospitals Furnishing lower extremity joint replacement services; Proposed Rule Vol. 80. 7/14/2015 ed. Fed Registrar 2015:41197.
8. 8 Porter, M.E., What is value in Health care?. N Engl J Med, 363(26), 2010, 2477.
9. 9 Ashton, C.M., Del Junco, D.J., Souchek, J., et al. The association between the quality of inpatient care and early readmission: a meta-analysis of the evidence. Med Care, 35(10), 1997, 1044.
10. 10 Bini, S.A., Fithian, D.C., Paxton, L.W., et al. Does discharge disposition after primary total joint arthroplasty affect readmission rates?. J Arthroplasty, 25(1), 2010, 114.
11. 11 Vorhies, J.S., Wang, Y., Herndon, J.H., et al. Decreased length of stay after TKA is not associated with increased readmission rates in a national Medicare sample. Clin Orthop Relat Res, 470(1), 2012, 166.
12. 12 Pugely, A.J., Callaghan, J.J., Martin, C.T., et al. Incidence of and risk factors for 30-day readmission following elective primary total joint arthroplasty: analysis from the ACS-NSQIP. J Arthroplasty, 28(9), 2013, 1499.
13. 13 Hunter, T., Yoon, R.S., Hutzler, L., et al. No evidence for race and socioeconomic status as independent Predictors of 30-Day readmission rates following Orthopedic surgery. Am J Med Qual, 30(5), 2015, 484.
14. 14 Vorhies, J.S., Wang, Y., Herndon, J., et al. Readmission and length of stay after total hip arthroplasty in a national Medicare sample. J Arthroplasty, 26(6 Suppl), 2011, 119.
15. 15 Clement, R.C., Derman, P.B., Graham, D.S., et al. Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty, 28(8 Suppl), 2013, 7.
16. 16 Ramos, N.L., Karia, R.J., Hutzler, L.H., et al. The effect of discharge disposition on 30-day readmission rates after total joint arthroplasty. J Arthroplasty, 29(4), 2014, 674.
17. 17 Saucedo, J.M., Marecek, G.S., Wanke, T.R., et al. Understanding readmission after primary total hip and knee arthroplasty: who's at risk?. J Arthroplasty, 29(2), 2014, 256.
18. 18 Bosco, J.A. 3rd, Karkenny, A.J., Hutzler, L.H., et al. Cost burden of 30-day readmissions following Medicare total hip and knee arthroplasty. J Arthroplasty, 29(5), 2014, 903.
19. 19 Husted, H., Otte, K.S., Kristensen, B.B., et al. Readmissions after fast-track hip and knee arthroplasty. Arch Orthop Trauma Surg, 130(9), 2010, 1185.
20. 20 Paxton, E.W., Inacio, M.C., Singh, J.A., et al. Are there modifiable risk factors for hospital readmission after total hip arthroplasty in a US healthcare System?. Clin Orthop Relat Res, 473(11), 2015, 3446.
21. 21 Voskuijl, T., Hageman, M., Ring, D., Higher Charlson Comorbidity Index Scores are associated with readmission after orthopaedic surgery. Clin Orthop Relat Res, 472(5), 2014, 1638.
22. 22 Clement, R.C., Kheir, M.M., Derman, P.B., et al. What are the economic consequences of unplanned readmissions after TKA?. Clin Orthop Relat Res, 472(10), 2014, 3134.
23. 23 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, 9(4), 2003, 222.
24. 24 Inneh, I.A., Iorio, R., Slover, J.D., et al. Role of Sociodemographic, Co-morbid and intraoperative factors in length of stay following primary total hip arthroplasty. J Arthroplasty, 30(12), 2015, 2092.
25. 25 Iorio, R., Clair, A.J., Inneh, I.A., et al. Early results of Medicare's Bundled payment initiative for a 90-Day total joint arthroplasty episode of care. J Arthroplasty, 31(2), 2016, 343.
26. 26 Gruskay, J.A., Fu, M., Bohl, D.D., et al. Factors affecting length of stay after elective posterior lumbar spine surgery: a multivariate analysis. Spine J, 15(6), 2015, 1188.
27. 27 Trouillet, J.L., Chastre, J., Vuagnat, A., et al. Ventilator-associated pneumonia caused by potentially drug-resistant bacteria. Am J Respir Crit Care Med, 157(2), 1998, 531.
28. 28 Kollef, M.H., Inadequate antimicrobial treatment: an important determinant of outcome for hospitalized patients. Clin Infect Dis, 31(Suppl 4), 2000, S131.
29. 29 Muhlberger, G., Huch, A., [Thromboembolic complications in radiotherapy. Influence of Depot-Eleparon prevention and radium insertion-time on the incidence and course of thromboembolic complications]. Fortschritte der Medizin, 92(31), 1974, 1274.
30. 30 Kiridly, D.N., Karkenny, A.J., Hutzler, L.H., et al. The effect of severity of disease on cost burden of 30-day readmissions following total joint arthroplasty (TJA). J Arthroplasty, 29(8), 2014, 1545.
31. 31 Maoz, G., Phillips, M., Bosco, J., et al. The Otto Aufranc Award: Modifiable versus nonmodifiable risk factors for infection after hip arthroplasty. Clin Orthop Relat Res, 473(2), 2015, 453.
32. 32 Boraiah, S., Joo, L., Inneh, I.A., et al. Management of modifiable risk factors prior to primary hip and knee arthroplasty: a readmission risk Assessment Tool. J Bone Joint Surg Am, 97(23), 2015, 1921.
33. 33 Moucha, C.S., Clyburn, T.A., Evans, R.P., et al. Modifiable risk factors for surgical site infection. Instr Course Lect, 60, 2011, 557.
34. 34 Crowe, B., Payne, A., Evangelista, P.J., et al. Risk factors for infection following total knee arthroplasty: a Series of 3836 cases from one institution. J Arthroplasty, 30, 2015, 2275.
35. 35 Marchant, M.H. Jr., Viens, N.A., Cook, C., et al. The impact of glycemic control and diabetes mellitus on perioperative outcomes after total joint arthroplasty. J Bone Joint Surg Am, 91(7), 2009, 1621.
36. 36 Iorio, R., Williams, K.M., Marcantonio, A.J., et al. Diabetes mellitus, hemoglobin A1C, and the incidence of total joint arthroplasty infection. J Arthroplasty, 27(5), 2012, 726.
37. 37 Schwarzkopf, R., Thompson, S.L., Adwar, S.J., et al. Postoperative complication rates in the “super-obese” hip and knee arthroplasty population. J Arthroplasty, 27(3), 2012, 397.
38. 38 Yi, P.H., Frank, R.M., Vann, E., et al. Is potential malnutrition associated with septic failure and acute infection after revision total joint arthroplasty?. Clin Orthop Relat Res, 473(1), 2015, 175.
39. 39 Moller, A.M., Pedersen, T., Villebro, N., et al. Effect of smoking on early complications after elective orthopaedic surgery. J Bone Joint Surg Br, 85(2), 2003, 178.
40. 40 Zmistowski, B., Restrepo, C., Hess, J., et al. Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors. J Bone Joint Surg Am, 95(20), 2013, 1869.
41. 41 Schairer, W.W., Vail, T.P., Bozic, K.J., What are the rates and causes of hospital readmission after total knee arthroplasty?. Clin Orthop Relat Res, 472(1), 2014, 181.
42. 42 PewResearchCenter. Modern Immigration Wave Brings 59 Million to US, Driving Population Growth and Change Through 2065. 2015.
43. 43 Otero, J.E., Gholson, J.J., Pugely, A.J., et al. Length of Hospitalization after joint arthroplasty: Does early discharge affect complications and readmission rates?. J Arthroplasty, 2016, 10.1016/j.arth.2016.07.026.