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Factors Driving Readmissions in Tibia and Femur Fractures

As the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospec...

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Autores principales: Chern, Alexander, Greenberg, Sarah E., Thakore, Rachel V., Sathiyakumar, Vasanth, Obremskey, William T., Sethi, Manish K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377446/
https://www.ncbi.nlm.nih.gov/pubmed/25861480
http://dx.doi.org/10.1155/2015/974543
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author Chern, Alexander
Greenberg, Sarah E.
Thakore, Rachel V.
Sathiyakumar, Vasanth
Obremskey, William T.
Sethi, Manish K.
author_facet Chern, Alexander
Greenberg, Sarah E.
Thakore, Rachel V.
Sathiyakumar, Vasanth
Obremskey, William T.
Sethi, Manish K.
author_sort Chern, Alexander
collection PubMed
description As the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospective chart review, all patients who presented to a level 1 trauma center from 2004 to 2006 were evaluated. By using current procedural terminology codes, 1,040 patients with diaphyseal tibia or femur fractures fixed by IMN were identified. 645 patients were included for analysis. 30-day, 60-day, and 90-day readmission rates were compared with fracture type, reason for readmission, and basic demographic information. The 60-day readmission rate for open tibia fractures (14.8%) was significantly higher than the 60-day readmission rate for closed tibia fractures (8.0%) (p = 0.037). When comparing reasons for 60-day readmissions, 50% of closed fractures were readmitted due to infection, while the other 50% needed additional surgery. 91.7% of open fractures readmitted in 60 days were due to infection. In a bundled payment system, orthopedic trauma must gain insight into drivers of readmission to identify those at risk for readmission and design effective healthcare plans for these patients.
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spelling pubmed-43774462015-04-08 Factors Driving Readmissions in Tibia and Femur Fractures Chern, Alexander Greenberg, Sarah E. Thakore, Rachel V. Sathiyakumar, Vasanth Obremskey, William T. Sethi, Manish K. Adv Orthop Research Article As the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospective chart review, all patients who presented to a level 1 trauma center from 2004 to 2006 were evaluated. By using current procedural terminology codes, 1,040 patients with diaphyseal tibia or femur fractures fixed by IMN were identified. 645 patients were included for analysis. 30-day, 60-day, and 90-day readmission rates were compared with fracture type, reason for readmission, and basic demographic information. The 60-day readmission rate for open tibia fractures (14.8%) was significantly higher than the 60-day readmission rate for closed tibia fractures (8.0%) (p = 0.037). When comparing reasons for 60-day readmissions, 50% of closed fractures were readmitted due to infection, while the other 50% needed additional surgery. 91.7% of open fractures readmitted in 60 days were due to infection. In a bundled payment system, orthopedic trauma must gain insight into drivers of readmission to identify those at risk for readmission and design effective healthcare plans for these patients. Hindawi Publishing Corporation 2015 2015-03-10 /pmc/articles/PMC4377446/ /pubmed/25861480 http://dx.doi.org/10.1155/2015/974543 Text en Copyright © 2015 Alexander Chern et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Chern, Alexander
Greenberg, Sarah E.
Thakore, Rachel V.
Sathiyakumar, Vasanth
Obremskey, William T.
Sethi, Manish K.
Factors Driving Readmissions in Tibia and Femur Fractures
title Factors Driving Readmissions in Tibia and Femur Fractures
title_full Factors Driving Readmissions in Tibia and Femur Fractures
title_fullStr Factors Driving Readmissions in Tibia and Femur Fractures
title_full_unstemmed Factors Driving Readmissions in Tibia and Femur Fractures
title_short Factors Driving Readmissions in Tibia and Femur Fractures
title_sort factors driving readmissions in tibia and femur fractures
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377446/
https://www.ncbi.nlm.nih.gov/pubmed/25861480
http://dx.doi.org/10.1155/2015/974543
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