Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Published

Journal Article

OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: Total sample size (N=142,022) included THR patients (identified as ICD-9-CM procedure code 81.51) in 2009 (n=31,232) and (n=32,863) in 2014. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: 30-Day hospital readmission. RESULTS: The overall readmission rate decreased by 1.3% from 2009 to 2014. The decrease in readmission rates varied by groups, with lesser improvements seen in THR patients who were younger, with private insurance, and residing in lower-income and rural communities. Device complications were the leading cause of readmission in THR patients, increasing from 19.8% in 2009 to 23.9% in 2014. CONCLUSIONS: There has been little decrease in hospital 30-day readmission rates for US community hospitals between 2009 and 2014. Findings from this brief report indicate patient groups at greater risk for 30-day hospital readmission as well as leading causes for readmission in THR patients which can inform the development of tailored interventions for reduction.

Full Text

Duke Authors

Cited Authors

  • Cary, MP; Goode, V; Crego, N; Thornlow, D; Colón-Emeric, CS; Hoenig, HM; Baba, K; Fellingham, S; Merwin, EI

Published Date

  • June 2018

Published In

Volume / Issue

  • 99 / 6

Start / End Page

  • 1213 - 1216

PubMed ID

  • 29407518

Pubmed Central ID

  • 29407518

Electronic International Standard Serial Number (EISSN)

  • 1532-821X

Digital Object Identifier (DOI)

  • 10.1016/j.apmr.2017.12.031

Language

  • eng

Conference Location

  • United States