Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014

Michael P. Cary, Victoria Goode, Nancy Crego, Deirdre Thornlow, Cathleen S. Colón-Emeric, Helen M. Hoenig, Kayla Baba, Scarlet Fellingham, Elizabeth I. Merwin

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1213-1216
Number of pages4
JournalArchives of physical medicine and rehabilitation
Volume99
Issue number6
DOIs
StatePublished - Jun 2018
Externally publishedYes

Keywords

  • Hospitals
  • Medicare
  • Patient safety
  • Quality improvement
  • Quality of care
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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