Can an arthroplasty risk score predict bundled care events after total joint arthroplasty?

ABSTRACT:

Background

The validated Arthroplasty Risk Score (ARS) predicts the need for postoperative triage to an intensive care setting. We hypothesized that the ARS may also predict hospital length of stay (LOS), discharge disposition, and episode-of-care cost (EOCC).

Methods

We retrospectively reviewed a series of 704 patients undergoing primary total hip and knee arthroplasty over 17 months. Patient characteristics, 90-day EOCC, LOS, and readmission rates were compared before and after ARS implementation.

Results

ARS implementation was associated with fewer patients going to a skilled nursing or rehabilitation facility after discharge (63% vs 74%, P = .002). There was no difference in LOS, EOCC, readmission rates, or complications. While the adoption of the ARS did n

SUBMITTER: Ashley BS 

PROVIDER: S-EPMC5859673 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature