Discharge Destination After Total Joint Arthroplasty: An Analysis of Postdischarge Outcomes, Placement Risk Factors, and Recent Trends
Discharge Destination After Total Joint Arthroplasty: An Analysis of Postdischarge Outcomes, Placement Risk Factors, and Recent Trends
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DOI：
10.1016/j.arth.2015.11.044
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发表时间：
2016-06-01
影响因子：
3.5
通讯作者：
Bozic, Kevin J.
中科院分区：
文献类型：
--
作者：
Keswani, Aakash;Tasi, Michael C.;Bozic, Kevin J.
背景：本研究旨在按出院目的地比较择期全关节置换术 (TJA) 患者出院后不良事件的风险，确定住院患者出院安置和出院后不良事件的风险因素，并根据这些风险因素对 TJA 患者进行分层，以确定最合适的出院目的地。 方法：在国家手术质量改进计划数据库中确定 2011 年至 2013 年接受择期初次全髋或膝关节置换术的患者。使用围手术期变量进行双变量和多变量分析。结果：总共分析了 106,360 名 TJA 患者。最常见的出院目的地包括家庭（70%）、熟练护理机构（SNF）（19%）和住院康复机构（IRF；11%）。双变量分析显示，SNF 和 IRF 患者的出院后不良事件发生率较高（所有 P
Background: This study aimed to compare risk of postdischarge adverse events in elective total joint arthroplasty (TJA) patients by discharge destination, identify risk factors for inpatient discharge placement and postdischarge adverse events, and stratify TJA patients based on these risk factors to identify the most appropriate discharge destination.Methods: Patients who underwent elective primary total hip or knee arthroplasty from 2011 to 2013 were identified in the National Surgical Quality Improvement Program database. Bivariate and multivariate analyses were assessed using perioperative variables.Results: A total of 106,360 TJA patients were analyzed. The most common discharge destinations included home (70%), skilled nursing facility (SNF) (19%), and inpatient rehabilitation facility (IRF; 11%). Bivariate analysis revealed that rates of postdischarge adverse events were higher in SNF and IRF patients (all P