Journals / Clinical and Experimental Health Sciences / 2022 / Cilt: 12 - Sayı: 1

Predictors of 30-Day Re-hospitalization After Total Hip and Total Knee Arthroplasty: A Orthopedic Ward Perspective

Pages
227–234
Publication Date
2022-03-30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results indicate that surgical infection was often the cause of higher rates of re-hospitalization among patients with total knee and total hip arthroplasty.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The study was aimed to elucidate risk factors identifiable from ward-derived data of thirty-day re-hospitalization among patients undergoing total hip and total knee arthroplasty.
📊
Key Findings & Data:Results: Patients were scored using this CCI system and grouped as high (high CCI group >2, n = 49) and low CCI (low CCI group ≤2, n = 78) with a cut-off score of 2.
💡
Conclusion & Impact:The results indicate that surgical infection was often the cause of higher rates of re-hospitalization among patients with total knee and total hip arthroplasty.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Re-hospitalization · rates · causes

Abstract

Objective: The study was aimed to elucidate risk factors identifiable from ward-derived data of thirty-day re-hospitalization among patients undergoing total hip and total knee arthroplasty. Methods: The study was designed as a cross-sectional and prospective study. The data of the study were collected through the Patient Sociodemographic Form, the Nurse Physical Assessment and Observation Form, the Charlson Comorbidity Index (CCI), and the Katz Activities of Daily Living (ADL) Scale. Results: Patients were scored using this CCI system and grouped as high (high CCI group >2, n = 49) and low CCI (low CCI group ≤2, n = 78) with a cut-off score of 2. The 30-day re-hospitalization rate was 14.2%, and the most common reason for re-hospitalization was a surgical infection. Surgical risk, Activities of daily living dependency, and comorbidities index scores of the patients were not significantly additive effects on rehospitalization (p> 0.05). The results indicate that surgical infection was often the cause of higher rates of re-hospitalization among patients with total knee and total hip arthroplasty. Conclusions: Conclusions: Orthopedic nurses should close observation of surgical site infection and design an effective discharge following-up order to the prevention of re-hospitalization in patients with“high risk”.

🔖

Cite This Article

GELİŞGEN, E., ÖZYÜREK, P. (2022). Predictors of 30-Day Re-hospitalization After Total Hip and Total Knee Arthroplasty: A Orthopedic Ward Perspective. Clinical and Experimental Health Sciences, Cilt: 12 - Sayı: 1, 227–234. https://ajindex.com/articles/481406

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. 1] OECD Indicators. Hip and knee replacement, in Health at a Glance 2017. OECD Publishing, 2017, Paris, [cited 2020 Oct]. Avalaible from: URL: https://doi.org/10.1787/health_glance- 2017-65-en. [2] Truntzer N, Shah K, Jenkins D, Rubin L. Total joint arthroplasty in patients with chronic infectious liver disease. Arthroplast Today 2016
  2. 2(2):69–76. [3] Fernandez-Cuadros ME, Perez-Moro OS, Miron-Canelo JA. Age and comorbidities affect quality of life in patients with osteoarthrtitis and knee replacement. Middle East Journal of Rehabilitation and Health Studies 2016
  3. 3(4):e40247. [4] Gronbeck C, Cote MP, Lieberman JR, Halawi, M. Risk stratification in primary total joint arthroplasty: the current state of knowledge. Arthroplast Today 2019
  4. 5(1):126-131. [5] Loth FL, Giesinger JM, Giesinger K, MacDonald DJ, Simpson AH, Howie CR, Hamilton DF. Impact of comorbidities on outcome after total hip arthroplasty. J Arthroplasty 2017
  5. 32(9): 2755- 2761. [6] Causey-Upton R, Howell DM, Kitzman HP. Custer MG, Dressler VD. Factors influencing discharge readiness after total knee replacement. Orthop Nurs 2019
  6. 38(1): 6-14. [7] Chern A, Greenberg ES, Thakore RV, Sathiyakumar V, Obremskey VT, Sethi MK. Factors driving readmissions in tibia and femur fractures. Adv Orthop 2015
  7. 74543: 1-6. [8] Bernatz JT, Tueting J, Anderson PA. Thirty-day readmission rates in orthopedics: a systematic review and meta-analysis. PLoS ONE 2015
  8. 10(4):e0123593. [9] Longo UG, Matarese M, Arcangeli V, Alciati V, Candela V, Facchinetti G, Marchetti A, De Marinis MG, Denaro, V. Denaro family caregiver strain and challenges when caring for orthopedic patients: a systematic review. Journal Clinical Medicine 2020
  9. 9(1497): 2-19. [10] Avram V, Petruccelli D, Winemaker M, Beer J. Total joint arthroplasty readmission rates and reasons for 30-day hospital readmission. J Arthroplasty 2014
  10. 29(3):465-468. [11] Gardona RGB, Barbosa DA. The importance of clinical practice supported by health assessment tools. Rev Paul Enferm 2018
  11. 71(4):1815-1816. [12] Alzaghari O, Wallace DC. The impact of physiological factors on 30-day unplanned rehospitalization in adults with heart failure. J Community Health Nurs 2019
  12. 36(1):31-41. [13] Kurtz MS, Lau EC, Ong KL, Adler EM, Kolisek FR, Manley MT. Which hospital and clinical factors drive 30 – and 90-day readmission after TKA? J Arthroplasty 2016
  13. 31(10): 2099- 2107. [14] Zadzilika JD, Kilika KA, Calvo C, Suarez JC, Patel PD, Krebs VE. Caregiver burden for patients with severe osteoa