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RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY

OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demogra...

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Autores principales: Lehtonen, Eva J., Hess, Matthew C., McGwin, Gerald, Shah, Ashish, Godoy-Santos, Alexandre Leme, Naranje, Sameer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220664/
https://www.ncbi.nlm.nih.gov/pubmed/30464711
http://dx.doi.org/10.1590/1413-785220182605190790
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author Lehtonen, Eva J.
Hess, Matthew C.
McGwin, Gerald
Shah, Ashish
Godoy-Santos, Alexandre Leme
Naranje, Sameer
author_facet Lehtonen, Eva J.
Hess, Matthew C.
McGwin, Gerald
Shah, Ashish
Godoy-Santos, Alexandre Leme
Naranje, Sameer
author_sort Lehtonen, Eva J.
collection PubMed
description OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demographics, preoperative comorbidities, laboratory data, operative characteristics, and postoperative complications were compared between readmitted and non-readmitted patients. Logistic regression identified independent risk factors for 30-day readmission. RESULTS: 137,209 patients underwent TKA; 3.4% were readmitted within 30 days. Advanced age, male sex, black ethnicity, morbid obesity, presence of preoperative comorbidities, high ASA classification, and increased operative time were independently related risk factors. Asian and no reported race were negative risk factors. Postoperative complications: acute myocardial infarction, acute renal failure, stroke, pneumonia, pulmonary embolism, and deep vein thrombosis show positive associations. CONCLUSIONS: Advanced age, male sex, black ethnicity, morbid obesity, presence of comorbidities, high ASA classification and long operative time are independent risk factors for postoperative complications and early hospital readmission following total knee arthroplasty. Level of Evidence III, Case control study.
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spelling pubmed-62206642018-11-21 RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY Lehtonen, Eva J. Hess, Matthew C. McGwin, Gerald Shah, Ashish Godoy-Santos, Alexandre Leme Naranje, Sameer Acta Ortop Bras Original Article OBJECTIVE: To identify independent risk factors, complications and early hospital readmission following total knee arthroplasty. METHODS: Using the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demographics, preoperative comorbidities, laboratory data, operative characteristics, and postoperative complications were compared between readmitted and non-readmitted patients. Logistic regression identified independent risk factors for 30-day readmission. RESULTS: 137,209 patients underwent TKA; 3.4% were readmitted within 30 days. Advanced age, male sex, black ethnicity, morbid obesity, presence of preoperative comorbidities, high ASA classification, and increased operative time were independently related risk factors. Asian and no reported race were negative risk factors. Postoperative complications: acute myocardial infarction, acute renal failure, stroke, pneumonia, pulmonary embolism, and deep vein thrombosis show positive associations. CONCLUSIONS: Advanced age, male sex, black ethnicity, morbid obesity, presence of comorbidities, high ASA classification and long operative time are independent risk factors for postoperative complications and early hospital readmission following total knee arthroplasty. Level of Evidence III, Case control study. ATHA EDITORA 2018 /pmc/articles/PMC6220664/ /pubmed/30464711 http://dx.doi.org/10.1590/1413-785220182605190790 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lehtonen, Eva J.
Hess, Matthew C.
McGwin, Gerald
Shah, Ashish
Godoy-Santos, Alexandre Leme
Naranje, Sameer
RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title_full RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title_fullStr RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title_full_unstemmed RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title_short RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY
title_sort risk factors for early hospital readmission following total knee arthroplasty
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220664/
https://www.ncbi.nlm.nih.gov/pubmed/30464711
http://dx.doi.org/10.1590/1413-785220182605190790
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