Hospital Volume and Inpatient Mortality Outcomes of Total Hip Arthroplasty in the United States

Early Mortality after Modern Total Hip Arthroplasty

“…First, procedures were completed in a high-volume hospital by experienced surgeons specializing in total joint arthroplasty. A high hospital case load and surgeon experience lower perioperative mortality and in-hospital deaths [9,34]. Second, improvements in anesthesia and pain management have reduced mortality and improve outcome after THA.…”

Patient vs Provider Characteristics Impacting Hospital Lengths of Stay After Total Knee or Hip Arthroplasty

“…Higher volume surgeons and hospitals experience lower mortality rates than lower volume surgeons and centers. [7][8][9] Previous research has demonstrated the importance of both surgeon and hospital volume in determining the outcome of total joint arthroplasty. 8,10,11 Higher provider volumes have been similarly linked to improved surgical outcomes in other specialties as well.…”

Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the Italian population: A 5‐year analysis based on hospitalization records

“…Zhan and colleagues reported that approximately 200,000 total hip replacements, 100,000 partial hip replacements, and 36,000 prosthesis revisions were performed in the US in 2003, with intrahospital mortality rates of 0.33%, 3.04%, and 0.84%, respectively (29). In 2006, Doro et al reported mortality following these surgical procedures to be 0.16 -0.29% (30). Mahomed et al showed that the rates of complications occurring within 90 days after primary total hip replacement were likely to be 1.0% for mortality, 0.9% for pulmonary embolism, and 0.2% for wound infection (19).…”

“…Analyses of direct costs were based on the costs ascribed to diagnosis-related groups (DRGs), according to Ministerial Decree 549 (June 30,1997). This law defined the national DRGs rate list adopted during the 6 years examined in our study, the values of which have been revised after 2005.…”