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Titre : | Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014 (2018) |
Auteurs : | Michael P. Jr. Cary ; Victoria Goode ; Nancy Crego |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 6, 2018) |
Article en page(s) : | p. 1213-1216 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amélioration de la qualité ; Qualité des soins de santé ; Rééducation et réadaptation ; Sécurité des patients |
Mots-clés: | Hospitals ; Hôpitaux ; Medicare ; Patient safety ; Quality improvement ; Quality of Health Care |
Résumé : |
Objective To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. Design Retrospective cross-sectional descriptive design. Setting Community-based acute care hospitals. Participants Total sample size (N=142,022) included THR patients (identified as ICD-9-CM procedure code 81.51) in 2009 (n=31,232) and (n=32,863) in 2014. Interventions Not applicable. Main Outcome Measures 30-Day hospital readmission. Results The overall readmission rate decreased by 1.3% from 2009 to 2014. The decrease in readmission rates varied by groups, with lesser improvements seen in THR patients who were younger, with private insurance, and residing in lower-income and rural communities. Device complications were the leading cause of readmission in THR patients, increasing from 19.8% in 2009 to 23.9% in 2014. Conclusions There has been little decrease in hospital 30-day readmission rates for US community hospitals between 2009 and 2014. Findings from this brief report indicate patient groups at greater risk for 30-day hospital readmission as well as leading causes for readmission in THR patients which can inform the development of tailored interventions for reduction. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |