ArticleClinical orthopaedics and related research2013
Readmission rates in the state of Florida: a reflection of quality?
Article in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Risk Factor Analysis of Hospital Readmissions at St. Petersburg General Hospital.HCA healthcare journal of medicine · 2023Article
- A Bibliometric Analysis of Diagnosis Related Groups from 2013 to 2022.Risk management and healthcare policy · 2023Review
- A systematic review and meta-analysis of unplanned hospital visits and re-admissions following radical prostatectomy for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Causes, risk factors, and costs associated with ninety-day readmissions following primary total hip arthroplasty for femoral neck fractures.Journal of clinical orthopaedics and trauma · 2021Article
- Reasons and risk factors for ninety day re-admission following primary total knee arthroplasty in a high-volume centre.International orthopaedics · 2018Article
- Medicaid insurance as primary payer predicts increased mortality after total hip replacement in the state inpatient databases of California, Florida and New York.Journal of clinical anesthesia · 2017Article
- All-Cause Versus Complication-Specific Readmission Following Total Knee Arthroplasty.The Journal of bone and joint surgery. American volume · 2017Article
- Are Readmissions After THA Preventable?Clinical orthopaedics and related research · 2017Article
- Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan.International journal of integrated care · 2016Article
- Editor's Spotlight/Take 5: High Rates of Interest in Sex in Patients With Hip Arthritis.Clinical orthopaedics and related research · 2016Article
- Are There Modifiable Risk Factors for Hospital Readmission After Total Hip Arthroplasty in a US Healthcare System?Clinical orthopaedics and related research · 2015Article
- CORR Insights(®): short-term complications have more effect on cost-effectiveness of THA than implant longevity.Clinical orthopaedics and related research · 2015Article
- Editor's Spotlight/Take 5: Hospital readmissions after treatment of proximal humerus fractures: is arthroplasty safer than open reduction internal fixation?Clinical orthopaedics and related research · 2014Article
- What are the rates and causes of hospital readmission after total knee arthroplasty?Clinical orthopaedics and related research · 2014Article
- The Impact of Community Health Information Exchange Usage on Time to Reutilization of Hospital Services.Annals of family medicineArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh readmission rates are viewed by the Centers for Medicare & Medicaid Services as a quality of care determinant but it is unclear whether readmission rates per se reflect quality and the drivers of readmissions after hip arthroplasty remain unclear. QUESTION/PURPOSES: We therefore describe the effects of (1) insurance, discharge disposition, and mental health status as they relate to rates; (2) rehospitalization charges; and (3) reasons for readmissions.
methodsWe studied a cohort of all 27,019 patients who initially underwent hip arthroplasty in Florida (April 2009 to March 2010). Participants were identified using the All Patient-Refined Diagnosis-Related Group 301. Data were provided by the Agency for Health Care Administration and the Florida Hospital Association who with the Florida Orthopedic Society studied readmissions within 15 days. We extracted readmission rates and their reasons; original payers, discharge disposition, mental health status; and readmission charges.
resultsThe readmission rate in the first 15 days was 5%. Rates varied by type of insurance: self-pay/underinsured, Medicaid, and Medicare patients (6%) had higher rates than individuals with commercial insurance, HMO, or PPO (3%). Patients discharged to skilled nursing facilities (SNFs) had higher rates (7%) than patients discharged home with/without health care (both 3%). Patients with a mental health issue (10%) were readmitted more frequently than patients without it (5%). Medicare readmissions comprised 81% (USD 59,222,829) of the total readmission charges in this cohort. The most common reasons were infections (all 27%), hip arthroplasty (11%), and cardiovascular problems (9%).
conclusionsPatients were more frequently readmitted if their payer was the government, they were discharged to a SNF, or they had a mental health disorder. Infections were the most common reasons for readmission. Our data suggest readmission rates alone do not necessarily reflect quality of care.
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