Evidence map›Paper›PMID 30464711›Full record

ArticleActa ortopedica brasileira2018

RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY.

Eva J Lehtonen, Matthew C Hess, Gerald McGwin, Ashish Shah, Alexandre Leme Godoy-Santos, Sameer Naranje

Open access · goldAbstract read
In one paragraph

Article in Acta ortopedica brasileira, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Increased 30-Day Readmission Rates in Total Knee Arthroplasty Patients Using Hypoallergenic Implants.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Eva J LehtonenUniversity of Alabama at Birmingham, Department of Orthopedic Surgery, Birmingham, AL, United States.ORCID 0000-0003-2844-5688
Matthew C HessUniversity of Alabama at Birmingham, Department of Orthopedic Surgery, Birmingham, AL, United States.ORCID 0000-0003-0435-5215
Gerald McGwinUniversity of Alabama at Birmingham, Department of Public Health, Birmingham, AL, United States.ORCID 0000-0001-9592-1133
Ashish ShahUniversity of Alabama at Birmingham, Department of Orthopedic Surgery, Birmingham, AL, United States.ORCID 0000-0001-5806-9498
Alexandre Leme Godoy-SantosHospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brasil.ORCID 0000-0002-6672-1869
Sameer NaranjeUniversity of Alabama at Birmingham, Department of Orthopedic Surgery, Birmingham, AL, United States.ORCID 0000-0003-0538-4528
University of Alabama · USAlabama Department of Public Health · USUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify independent risk factors, complications and early hospital readmission following total knee arthroplasty.

methodsUsing the ACS-NSQIP database, we identified patients who underwent primary TKA from 2012-2015. The primary outcome was early hospital readmission. Patient demographics, preoperative comorbidities, laboratory data, operative characteristics, and postoperative complications were compared between readmitted and non-readmitted patients. Logistic regression identified independent risk factors for 30-day readmission.

results137,209 patients underwent TKA; 3.4% were readmitted within 30 days. Advanced age, male sex, black ethnicity, morbid obesity, presence of preoperative comorbidities, high ASA classification, and increased operative time were independently related risk factors. Asian and no reported race were negative risk factors. Postoperative complications: acute myocardial infarction, acute renal failure, stroke, pneumonia, pulmonary embolism, and deep vein thrombosis show positive associations.

conclusionsAdvanced age, male sex, black ethnicity, morbid obesity, presence of comorbidities, high ASA classification and long operative time are independent risk factors for postoperative complications and early hospital readmission following total knee arthroplasty.

Indexed as

ArthroplastyKneePatient readmissionRisk factors

Identifiers

PMID30464711
PMCPMC6220664
OpenAlexW2899703857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.