Length of Stay and Inpatient Mortality Trends in Primary and Revision Total Joint Arthroplasty in the United States, 2000-2014

Overview

Journal J Orthop

Specialty Orthopedics

Date 2018 Jun 9

PMID 29881212

Citations 13

Authors

Matthew Sloan

Neil P Sheth

Affiliations

Soon will be listed here.

Abstract

Retrospective review of the National Inpatient Sample was performed. LOS and IHM were assessed among TJA patients and assessed by comorbidity status. LOS among TJA patients decreased from 4.31 to 5.87 days to 2.83-4.49 days. Relative risk for prolonged LOS among high comorbidity patients ranged from 3.01-5.62. IHM per 1,000 was 5.1 for revision THA, 1.8 for revision TKA, 1.1 for primary THA, and 0.4 for primary TKA. Relative risk for IHM in high comorbidity patients ranged from 443.9-780.9 (p < 0.0001). LOS and IHM decreased significantly across all TJA procedures. LOS and IHM among the highest comorbidity groups are unacceptably high.

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