ArticleClinical orthopaedics and related research2012
Decreased length of stay after TKA is not associated with increased readmission rates in a national Medicare sample.
Article in Clinical orthopaedics and related research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- An umbrella review for preoperative rehabilitation in primary total knee arthroplasty: quality assessment and summary of evidence.BMC musculoskeletal disorders · 2025Pooled it
- Serious adverse events and 30-day hospital readmission rate following elective total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Pooled it
- High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Risk assessment model used to predict discharge care after total hip and total knee arthroplasty: A population-based study.Journal of orthopaedics · 2025Article
- Patient-Centered Discharge and Postoperative Length of Hospital Stay in Primary Total Knee Arthroplasty.Cureus · 2024Article
- Identification of Surgeon Outliers to Improve Cost Efficiency: A Novel Use of the Centers for Medicare and Medicaid Quality Payment Program.The Journal of arthroplasty · 2024Article
- Incidence, Risk Factors, and Subsequent Complications of Postoperative Hematomas Requiring Reoperation After Primary Total Hip Arthroplasty.Arthroplasty today · 2023Article
- Predicting the risk of hospital readmissions using a machine learning approach: a case study on patients undergoing skin procedures.Frontiers in artificial intelligence · 2023Article
- Predicting robotic-assisted total knee arthroplasty operating time : benefits of machine-learning and 3D patient-specific data.Bone & joint open · 2022Article
- Length of Stay Increases 90-day Readmission Rates in Patients Undergoing Primary Total Joint Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Preoperative Home Care Can Be One of the Factors Affecting the Length of Hospital Stay in Patients Undergoing Total Hip Arthroplasty.Indian journal of orthopaedics · 2022Article
- Outpatient total knee and hip arthroplasty present comparable and even better clinical outcomes than inpatient operation.Frontiers in surgery · 2022Review
- Insight Into the Effect of Hospital-Based Prehabilitation on Postoperative Outcomes in Patients With Total Knee Arthroplasty: A Retrospective Comparative Study.Arthroplasty today · 2021Article
- A Prospective Evaluation of Postoperative Readmissions After Outpatient Hand and Upper Extremity Surgery.Cureus · 2021Article
- Inaugural Readmission Penalties for Total Hip and Total Knee Arthroplasty Procedures Under the Hospital Readmissions Reduction Program.JAMA network open · 2019Article
- Electrolyte imbalance after total joint arthroplasty: risk factors and impact on length of hospital stay.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Observational
- A multifaceted intervention to improve the quality of care for patients undergoing total joint arthroplasty.BMJ open quality · 2019Article
- Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes.Advances in orthopedics · 2019Article
- Postoperative Home Monitoring After Joint Replacement: Retrospective Outcome Study Comparing Cases With Matched Historical Controls.JMIR perioperative medicine · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a trend toward decreasing length of hospital stay (LOS) after TKA although it is unclear whether this trend is detrimental to the overall postoperative course. Such information is important for future decisions related to cost containment. QUESTIONS/PURPOSES: We determined whether decreases in LOS after TKA are associated with increases in readmission rates. PATIENTS AND
methodsWe retrospectively reviewed the rates and reasons for readmission and LOS for 4057 Medicare TKA patients from 2002 to 2007. We abstracted data from the Medicare Patient Safety Monitoring System. Hierarchical generalized linear modeling was used to assess the odds of changing readmission rates and LOS over time, controlling for changes in patient demographic and clinical variables.
resultsThe overall readmission rate in the 30 days after discharge was 228/4057 (5.6%). The 10 most common reasons for readmission were congestive heart failure (20.4%), chronic ischemic heart disease (13.9%), cardiac dysrhythmias (12.5%), pneumonia (10.8%), osteoarthrosis (9.4%), general symptoms (7.4%), acute myocardial infarction (7.0%), care involving other specified rehabilitation procedure (6.3%), diabetes mellitus (6.3%), and disorders of fluid, electrolyte, and acid-base balance (5.9%); the top 10 causes did not include venous thromboembolism syndromes. We found no difference in the readmission rate between the periods 2002-2004 (5.5%) and 2005-2007 (5.8%) but a reduction in LOS between the periods 2002-2004 (4.1 ± 2.0 days) and 2005-2007 (3.8 ± 1.7 days).
conclusionsThe most common causes for readmission were cardiac-related. A reduction in LOS was not associated with an increase in the readmission rate in this sample. Optimization of cardiac status before discharge and routine primary care physician followup may lead to lower readmission rates.
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