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

Published

Journal Article

This study sought to identify specific costs for 90-day readmissions following total hip arthroplasty in a bundled payment system. Hospital billing records revealed 139 readmissions (8.93%) in 1781 patients. Mean costs for surgical readmissions were greater (P=0.002) compared with medical reasons, but similar for Medicare/Medicaid and private payers (P=0.975). Costs for imaging, laboratory workup, medication and transfusions, and hospital cost correlated with increasing SOI (P<0.05). Patients transferred from outside hospitals or rehabilitation had higher hospital (P=0.006) and operating room costs (P=0.001) compared to patients admitted from ED or clinic. Hospitals that care for complex patients with Medicare/Medicaid may experience increased costs for unplanned 90-day readmissions highlighting considerations for payer mix.

Full Text

Duke Authors

Cited Authors

  • Plate, JF; Brown, ML; Wohler, AD; Seyler, TM; Lang, JE

Published Date

  • January 2016

Published In

Volume / Issue

  • 31 / 1

Start / End Page

  • 49 - 52

PubMed ID

  • 26278485

Pubmed Central ID

  • 26278485

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

International Standard Serial Number (ISSN)

  • 0883-5403

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2015.07.030

Language

  • eng