McMaster University

McMaster University

HAGrp Article Publication in the Journal of Arthroplasty

Published: February 20th, 2014

MacOrtho would like to congratulate Hamilton Arthroplasty Group for their recent article publication in the March issue of Journal of Arthroplasty. This publication is entitled "Total joint arthroplasty readmission rates and reasons for 30-day hospital readmission."

To read more, click here to access the full-version of the article.

Avram V, Petruccelli D, Winemaker M, de Beer J. Total joint arthroplasty readmission rates and reasons for 30-day hospital readmission. J Arthroplasty. 2014 Mar; 29(3):465-8.



Given institutional pressures to reduce hospital length of stay (LOS) we hypothesized that "failure to cope" would be a significant factor for readmission following total joint arthroplasty (TJA). A retrospective review of 4288 TJA patients was conducted to determine readmission rates and reasons for readmit within 30days of discharge. Ninety-five patients (2.2%; 95% CI: 1.8%-2.7%) were readmitted. Leading diagnoses were surgical site infection (23.2%) and cardiovascular event (16.8%). Of readmits 5.3% (5/95) were readmitted for failure to cope, representing 0.1% of the sample. In multivariate analysis, increased age was a significant predictor of readmission (OR=0.974, 95% CI 0.952-0.997). Contrary to our hypothesis failure to cope was not a leading diagnosis for readmission; concerns remain that early discharge may however correlate with increased readmit rates.





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