Association of Discharge to Home vs Institutional Postacute Care With Outcomes After Lower Extremity Joint Replacement.

ABSTRACT:

Importance

Changes in financial incentives have led to more patients being discharged home than to institutional forms of postacute care, such as skilled nursing facilities (SNFs), after elective lower extremity total joint replacement (LEJR).

Objective

To evaluate the association of this change with hospital readmissions, surgical complications, and mortality.

Design, setting, and participants

This cohort study used cross-temporal propensity-matching to identify 104 828 adult patients who were discharged home following LEJR between 2016 and 2018 (after changes in financial incentives) and 84 121 adult patients discharged to institutional forms of postacute care (eg, SNFs) between 2011 and 2013 (before changes in financial incentives). A difference-in-differences desi

SUBMITTER: Burke RE 

PROVIDER: S-EPMC7584947 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature