Do shorter lengths of stay increase readmissions after total joint replacements?

Background: Enhanced recovery after surgery protocols for total joint replacements (TJRs) emphasize early discharge, yet the impact on readmissions is not well documented. We evaluate the impact of a one-day length of stay (LOS) discharge protocol on readmissions.

Methods: We conducted a retrospective review of all primary TJRs (hip and knee) from April 2014 to March 2015.

Incidence, Risk Factors, and Costs for Hospital Returns After Total Joint Arthroplasties.

Background: Unplanned hospital returns after total joint arthroplasty (TJA) reduce any cost savings in a bundled reimbursement model. We examine the incidence, risk factors, and costs for unplanned emergency department (ED) visits and readmissions within 30 days of index TJA.

Methods: We retrospectively reviewed a consecutive series of 655 TJAs (382 total knee arthroplasty and 273 total hip arthroplasty) performed between April 2014 and March 2015.