Hospital Readmissions among Total Hip Replacement Patients in 2009 and 2014

Publication date: Available online 31 January 2018
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Michael P. Cary, Victoria Goode, Nancy Crego, Deirdre Thornlow, Cathleen Colón-Emeric, Helen M. Hoenig, Kayla Baba, Scarlet Fellingham, Elizabeth I. Merwin
ObjectiveTo document changes in 30-day hospital readmission rates and causes for returning to the hospital for care among THR patients in US hospitals in 2009 and 2014.DesignCross-sectional, retrospective descriptive. We used data from the Nationwide Readmissions Database (NRD) which is drawn from the Healthcare Cost and Utilization Project (HCUP) net – sponsored by the Agency for Healthcare Research and Quality (AHRQ).SettingThe AHRQ database, known as NRD, is based on a 20% sample of all hospital discharges in the nation.ParticipantsTHR patients (identified as ICD-9-CM procedure code 81.51) in 2009 (N=31,232) and (N = 32,863) in 2014.InterventionsNot applicable.Main outcome measure30-day hospital readmission.ResultsCompared to 2009, overall rates of 30-day readmissions after THR decreased by 1.3% in 2014. The decrease in readmission rates varied by groups with lesser improvements seen among THR patients who were younger, with private insurance, residing in lower-income and rural communities. Device complications were the leading cause for readmission among THR patients, increasing from 19.8% in 2009 to 23.9% in 2014.



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