Total Joint Arthroplasty Readmission Rates and Reasons for 30-Day Hospital Readmission

Causes and Predictors of 30-Day Readmission After Shoulder and Knee Arthroscopy: An Analysis of 15,167 Cases

“…2 Against this background of increasing emphasis on unplanned readmission rates, multiple prior studies have investigated unplanned readmissions in spine surgery and joint arthroplasty, with reported rates ranging from 2% to 7%. [3][4][5][6] These studies have served to better inform health policy and perioperative management. In contrast, although shoulder arthroscopy and knee arthroscopy are among the most common orthopaedic procedures performed in the United States, [7][8][9] comparatively little has been published on unplanned readmissions.…”

The Impact of Risk Reduction Initiatives on Readmission: THA and TKA Readmission Rates

“…Defining risk factors for hospital readmission following elective total hip arthroplasty (THA) and total knee arthroplasty (TKA) has received increased attention in peer reviewed orthopedic surgery literature over the past 5 years [1][2][3][4][5][6][7][8][9][10][11]. The Patient Protection and Affordable Care Act (ACA) has legislated penalties up to 3% of annual payments from the Centers for Medicare and Medicaid Services (CMS) to hospitals whose 30-day readmission rates exceed expected levels after accounting for documented patient medical comorbidities.…”

The impact of acute perioperative myocardial infarction on clinical outcomes after total joint replacement

“…In a recent study of 4288 patients, the second most common (16.8%) reason for readmission after TJR within 30 days was a cardiac event. 44 The mean time to MI after TJR in our study was 1.9 days or 84% within the third postoperative day, which is in keeping with a typical hospital stay for such procedures presently. 1,7 However, given increasing surgical volume and greater institutional pressure to discharge patients in an accelerated fashion, this may soon become reflected in higher readmission rates.…”