Comparison of Hospital Readmission After Total Hip and Total Knee Arthroplasty vs Spinal Surgery After Implementation of the Hospital Readmissions Reduction Program | Zendy

Ashwin Ramaswamy | Zendy; Maya Marchese | Zendy; Alexander P. Cole | Zendy; Sabrina Harmouch | Zendy; David F. Friedlander | Zendy; Joel S. Weissman | Zendy; Stuart R. Lipsitz | Zendy; Adil H. Haider | Zendy; Adam S. Kibel | Zendy; Andrew J. Schoenfeld | Zendy; QuocDien Trinh | Zendy

Open Access

Comparison of Hospital Readmission After Total Hip and Total Knee Arthroplasty vs Spinal Surgery After Implementation of the Hospital Readmissions Reduction Program

Author(s) -

Ashwin Ramaswamy,

Maya Marchese,

Alexander P. Cole,

Sabrina Harmouch,

David F. Friedlander,

Joel S. Weissman,

Stuart R. Lipsitz,

Adil H. Haider,

Adam S. Kibel,

Andrew J. Schoenfeld,

QuocDien Trinh

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.4634

Subject(s) - medicine , logistic regression , surgery , laminectomy , retrospective cohort study , arthroplasty , cohort , lumbar , total hip arthroplasty , physical therapy , psychiatry , spinal cord

Key Points Question Is the US Hospital Readmissions Reduction Program associated with a greater decrease in unplanned readmissions after targeted surgical procedures when compared with similar nontargeted procedures? Findings In this nationwide, all-payer cohort study of 6 687 007 weighted index surgical admissions, implementation of the Hospital Readmissions Reduction Program was associated with a decrease of 0.018% per month in the risk-adjusted readmission rate after targeted procedures, while the readmission rate after nontargeted procedures remained constant, a difference that was statistically significant. Meaning Readmission trends appear to be consistent with hospitals’ response to the possibility of Hospital Readmissions Reduction Program penalties after total hip arthroplasty and total knee arthroplasty.

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