Evidence map›Paper›PMID 25081513›Full record

ArticleThe Journal of arthroplasty2014

Are there identifiable risk factors and causes associated with unplanned readmissions following total knee arthroplasty?

Michael M Kheir, R Carter Clement, Peter B Derman, David N Flynn, Rebecca M Speck, L Scott Levin, Lee A Fleisher

Abstract read
PubMed Publisher
In one paragraph

Article in The Journal of arthroplasty, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Rates, causes, and types of readmissions after total joint arthroplasty.Turkish journal of physical medicine and rehabilitation · 2020
    Article
  4. All-Cause Versus Complication-Specific Readmission Following Total Knee Arthroplasty.The Journal of bone and joint surgery. American volume · 2017
    Article
  5. Predictors of hospital readmission following revision total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Michael M KheirPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
R Carter ClementUNC School of Medicine, Chapel Hill, North Carolina.
Peter B DermanHospital for Special Surgery, New York, New York.
David N FlynnDepartment of Anesthesiology & Critical Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Rebecca M SpeckDepartment of Anesthesiology & Critical Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
L Scott LevinHospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Lee A FleisherDepartment of Anesthesiology & Critical Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a retrospective review of 3218 primary total knee arthroplasties (TKA) performed over two years at an urban academic hospital network using clinical and administrative data. Increased length of stay (LOS) was associated with readmission (P < 0.001). Readmission was not associated with age (P = 0.100), gender (P = 0.608), body mass index (P = 0.329), or staged bilateral procedures (P = 0.420). The most common readmitting diagnoses were post-operative infection (22.5%), hematoma (10.1%), pulmonary embolus (7.9%) and deep vein thrombosis (5.6%). Of readmissions, 53.9% were for surgical reasons and 46.1% were for medical reasons. Certain interventions described in previous literature may be more successful in minimizing unplanned readmissions by focusing on patients with extended LOS, elevated infection risk and low socioeconomic status.

Indexed as

AgedArthroplasty, Replacement, KneeFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk Factorscausesinterventionsreadmitting diagnosisrisk factorstotal knee arthroplastyunplanned readmissions

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.