Rehospitalizations, early revisions, infections, and hospital resource use in the first year after hip and knee arthroplasties.

J Arthroplasty

Department of Surgery, University of Manitoba, Concordia Joint Replacement Group, Concordia Hip and Knee Institute, Winnipeg, Manitoba, Canada.

Published: February 2012

AI Article Synopsis

  • The study analyzed negative outcomes for over 58,000 hip and knee arthroplasty patients, focusing on rehospitalization, revision, and infection rates in the year following surgery.
  • In the year after surgery, there were significant increases in rehospitalization rates—15% for elective hip and 52% for knee patients—compared to the year before surgery.
  • The data revealed that 2% of emergent hip patients and nearly 1% of knee patients experienced surgery revision, while 1.3% of patients faced joint infection, leading to an additional 10% cost over the initial hospital stay for elective procedures.

Article Abstract

We examined 3 negative outcomes for 58 351 hip and knee arthroplasty patients: rehospitalization, revision and infection, and their impact on resource use in the year after surgery. In the year before surgery, 12.9% of elective hip and 10.2% of knee patients were hospitalized. In the year after, 14.8% of elective hip and 15.5% of knee patients were hospitalized, representing a 15% and 52% increase, respectively. Twenty-eight percent of emergent hip patients were hospitalized at least once preoperatively; this did not change after surgery. Revision occurred in 2.0% of emergent hip, 1.7% of elective hip, and 0.9% of knee patients. Joint infection was diagnosed in 1.3% of patients. The increased hospitalization after the elective hip and knee procedures represents an incremental cost of 10% over the index hospital stay.

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Source
http://dx.doi.org/10.1016/j.arth.2011.05.004DOI Listing

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