Evidence map›Paper›PMID 35410923›Full record

ArticleBMJ open2022

Understanding factors affecting 30-day unplanned readmissions for patients undergoing total knee arthroplasty (TKA): the ACT Transition from Hospital to Home Orthopaedics Survey.

Madhur Chhabra, Diana Perriman, Christine Phillips, Anne Parkinson, Nicholas Glasgow, Kirsty Douglas, Darlene Cox, Paul Smith, Jane Desborough

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
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

9 authors at 2 institutions in 3 countries.

Madhur ChhabraDepartment of Health Services Research and Policy, Australian National University, Canberra, Australian Capital Territory, Australia madhur.chhabra@anu.edu.au.ORCID 0000-0002-8823-747X
Diana PerrimanTrauma and Orthopaedic Research Unit, ACT Health, Canberra City, Australian Capital Territory, Australia.
Christine PhillipsAustralian National University Medical School, Canberra, Australian Capital Territory, Australia.
Anne ParkinsonDepartment of Health Services Research and Policy, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID 0000-0001-9053-0707
Nicholas GlasgowAustralian National University Medical School, Canberra, Australian Capital Territory, Australia.
Kirsty DouglasAustralian National University Medical School, Canberra, Australian Capital Territory, Australia.
Darlene CoxHealth Care Consumers Association, ACT, Canberra, Australian Capital Territory, Australia.
Paul SmithTrauma and Orthopaedic Research Unit, ACT Health, Canberra City, Australian Capital Territory, Australia.
Jane DesboroughDepartment of Health Services Research and Policy, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID 0000-0003-1406-4593
Australian National University · AUConsumers Union · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate factors associated with unplanned 30-day readmissions following a total knee arthroplasty (TKA), including association with post-hospital syndrome, patient enablement and transition from hospital to home. DESIGN, SETTING AND

participantsA cross-sectional written survey of public and private patients attending a 6-week follow-up appointment after TKA at one of four clinical services in the Australian Capital Territory (ACT) between 1 February 2018 and 31 January 2019. Multiple logistic regression analyses were used to measure associations between patient, hospital and transitional care factors with unplanned 30-day readmissions, while controlling for known confounders.

resultsOf the 380 participants who completed the survey (n=380, 54% of TKAs undertaken over the study period), 3.4% (n=13; 95% CI: 1.8 to 5.8) were subsequently readmitted within 30 days of discharge after a primary hospitalisation. Public patients were significantly more likely to be readmitted within 30 days compared with private patients (adjusted OR=6.31, 95% CI: 1.59 to 25.14, p=0.009), and patients who attended rehabilitation were significantly less likely to be readmitted within 30 days of discharge than those who did not (adjusted OR=0.16, 95% CI: 0.04 to 0.57, p=0.005). There were no associations between post-hospital syndrome or patient enablement and 30-day readmissions in this study.

conclusionReasons underlying the difference in unplanned readmission rates for public versus private patients need to be explored, including differences in surgical waiting times and the consequences for impairment and disease complexity. Strategies to foster increased participation post-surgical rehabilitation programmes need to be developed as an avenue to mitigate the burden of unplanned 30-day readmissions on individuals and health systems.

Indexed as

Arthroplasty, Replacement, KneeOrthopedicsAustraliaCross-Sectional StudiesHospitalsHospital to Home TransitionHumansPatient DischargePatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk Factorshealth policykneequality in health care

Identifiers

PMID35410923
PMCPMC9003601
OpenAlexW4223590105

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.