کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4060433 1603997 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Predictive Risk Factors for 30-day Readmissions Following Primary Total Joint Arthroplasty and Modification of Patient Management
ترجمه فارسی عنوان
عوامل خطرساز پیش بینی کننده برای واکنشهای 30 روزه به دنبال پیوند آرتروپلاستی مشترک و اصلاح مدیریت بیمار
کلمات کلیدی
پذیرش 30 روز، آرتروپلاستی کل مشترک مشترک اولیه، عوامل خطر، مدیریت پس از عمل
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

The Centers for Medicare and Medicaid have begun to publically publish statistics on readmissions following primary total hip (THA) and total knee arthroplasty (TKA). Our study retrospectively assesses 30-day readmissions rates following THA and TKA, performed by a single surgeon at a tertiary care medical center between 2007 and 2012. Results of a univariate analysis and logistic regression model indicated female gender, high ASA class, and increased operative time to be significantly associated with higher rates of readmission (OR 4.646, OR 1.257, and OR 5.323, respectively). Readmissions most often occurred within the first week of patient discharge. Surgical complications and gastrointestinal discomfort were the most common causes for readmission. Using readmission risk we can stratify patients into tiered critical care pathways to reduce readmissions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Arthroplasty - Volume 29, Issue 10, October 2014, Pages 1938–1942
نویسندگان
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