2016
DOI: 10.1016/j.arth.2015.12.017
|View full text |Cite
|
Sign up to set email alerts
|

Selective Early Hospital Discharge Does Not Increase Readmission but Unnecessary Return to the Emergency Department Is Excessive Across Groups After Primary Total Knee Arthroplasty

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

1
24
0

Year Published

2017
2017
2020
2020

Publication Types

Select...
7
1

Relationship

0
8

Authors

Journals

citations
Cited by 49 publications
(25 citation statements)
references
References 21 publications
1
24
0
Order By: Relevance
“…Cost savings may indeed be realized with more home discharge and short hospital length of stay; however, Rossman et al suggest that cost containment must include avoiding unnecessary utilization of the emergency department (ED) [24]. These authors note that while decreased length of stay after TKA is not associated with increased readmission rates, data may underestimate the overall unplanned hospital return events such as presenting for medical attention to the ED without readmission to the hospital.…”
Section: Early Discharge and Destination Affect On Complications And mentioning
confidence: 76%
“…Cost savings may indeed be realized with more home discharge and short hospital length of stay; however, Rossman et al suggest that cost containment must include avoiding unnecessary utilization of the emergency department (ED) [24]. These authors note that while decreased length of stay after TKA is not associated with increased readmission rates, data may underestimate the overall unplanned hospital return events such as presenting for medical attention to the ED without readmission to the hospital.…”
Section: Early Discharge and Destination Affect On Complications And mentioning
confidence: 76%
“…This trend of shorter inpatient stays has accentuated the importance of patient education before discharge. A large proportion of ED visits are potentially unnecessary and may be prevented with better patient education and enhanced outpatient communication [5].…”
mentioning
confidence: 99%
“…Although the difference was remarkable, it did not reach statistical significance (p=0.057), probably because the complications were fewer over-all and the sample size was too small to decipher any difference. Although a prospective randomized study found no difference in the postoperative complication rate in the two discharge destinations4), most of the other studies from the Western world reported increased rates of early complications in patients discharged to an ECF as compared with those discharged to home3,14,16,17,19,24). The difference between our results and those of other studies could be because of the lower comorbidity profile of the patients discharged to ECFs in South Korea than that in Western countries.…”
Section: Discussionmentioning
confidence: 96%
“…Some of the various demographic and perioperative variables reported from the West to favor an inpatient facility as discharge destination after TKA include older age2,3,10,14,16,17, 20,21,24), female sex2,3,10,14,16,17,21), higher comorbidity index1,2,14,16,17,19,21), low socioeconomic status9,10), non-white race2,10), higher BMI16,17,21), longer operation time16,17), and longer length of stay in the acute-care hospital1,10–12,16,17,20,24). In our study, we did not find any difference in age and sex distribution between the two groups.…”
Section: Discussionmentioning
confidence: 99%