The Impact of Pre-Operative Healthcare Utilization on Complications, Readmissions, and Post-Operative Healthcare Utilization Following Total Joint Arthroplasty

Hospital Exposure Prior to Total Hip Arthroplasty: Are Perioperative Outcomes Impacted?

“…In addition, Creager et al found similar results when they examined 30-day readmission rates in TJA patients with and without a PHE within 90 days of surgery. 5 Although they included urgent care visits in their inclusion criteria 5 while the present analysis did not, the results from each study are similar in that patients who had a PHE were significantly more at risk of 30-day readmission following THA compared to those who did not. The results from these studies should raise concern for surgeons who are treating patients recently discharged from a health care setting.…”

“…9 Given the substantial costs, several studies have focused on factors which could contribute to readmission following THA. [3][4][5] The results of our analysis demonstrate that patients with a PHE within 90 days of a THA were at a significantly greater risk of facility discharge postoperatively compared to patients without a PHE. Kiskaddon et al similarly examined risk of facility discharge in patients who had an ED visit within 90-days preoperatively.…”

“…Preoperative health care utilization, especially within 90 days of surgery, has been shown to increase the risk of discharge to a skilled nursing facility (SNF) and readmission following TJA. 4,5 There is limited literature, however, looking at rates of revision surgery following THA in patients who utilized a health care facility preoperatively.…”

“…One such factor that has demonstrated a correlation with negative outcomes is the exposure to health care facilities prior to surgery. [3][4][5] Krumholz defines this phenomenon as posthospital syndrome, 6 a physiologically deconditioned state experienced by patients after hospitalizations. Preoperative health care utilization, especially within 90 days of surgery, has been shown to increase the risk of discharge to a skilled nursing facility (SNF) and readmission following TJA.…”

“…Preoperative health care utilization, especially within 90 days of surgery, has been shown to increase the risk of discharge to a skilled nursing facility (SNF) and readmission following TJA. 4,5 There is limited literature, however, looking at rates of revision surgery following THA in patients who utilized a health care facility preoperatively.Therefore, we sought to determine whether preoperative health care events (PHEs) within 90 days of surgery Keywords ► total hip arthroplasty ► preoperative health care event ► facility discharge ► readmission ► outcomes…”