Predictors of Discharge to an Inpatient Extended Care Facility After Total Hip or Knee Arthroplasty

Kevin J. Bozic, Amy Wagie, James M Naessens, Daniel J. Berry, Harry E. Rubash

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Increased emphasis has been placed on hospital length of stay and discharge planning after total joint arthroplasty (TJA). The purpose of this study was to identify baseline patient characteristics that are predictive of discharge to an inpatient extended care facility (ECF) after TJA. Clinical, demographic, and resource utilization data were analyzed for 7818 consecutive patients who underwent primary or revision TJA at 1 of 3 high-volume TJA centers. A stepwise linear regression model was used to identify predictors of discharge to an ECF. Overall, 29% of patients were discharged to an ECF after TJA. Older age, higher American Society of Anesthesiologists class, Medicare insurance, and female sex were all associated with a higher likelihood of discharge to an ECF. Significant differences in practice patterns were found across hospitals with respect to discharge disposition after TJA. Further study is necessary to determine the appropriate criteria for discharge to an ECF after TJA.

Original languageEnglish (US)
Pages (from-to)151-156
Number of pages6
JournalJournal of Arthroplasty
Volume21
Issue number6 SUPPL.
DOIs
StatePublished - Sep 2006

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Skilled Nursing Facilities
Knee Replacement Arthroplasties
Arthroplasty
Hip
Inpatients
Joints
Linear Models
Length of Stay
Patient Discharge
Medicare
Insurance
Reoperation
Demography

Keywords

  • discharge planning
  • outcomes
  • postacute care
  • total joint arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Predictors of Discharge to an Inpatient Extended Care Facility After Total Hip or Knee Arthroplasty. / Bozic, Kevin J.; Wagie, Amy; Naessens, James M; Berry, Daniel J.; Rubash, Harry E.

In: Journal of Arthroplasty, Vol. 21, No. 6 SUPPL., 09.2006, p. 151-156.

Research output: Contribution to journalArticle

Bozic, Kevin J. ; Wagie, Amy ; Naessens, James M ; Berry, Daniel J. ; Rubash, Harry E. / Predictors of Discharge to an Inpatient Extended Care Facility After Total Hip or Knee Arthroplasty. In: Journal of Arthroplasty. 2006 ; Vol. 21, No. 6 SUPPL. pp. 151-156.
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