Journal
JOURNAL OF ARTHROPLASTY
Volume 30, Issue 9, Pages 5-10Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2015.01.057
Keywords
hip arthroplasty; knee arthroplasty; complications; risk calculator
Categories
Ask authors/readers for more resources
Accurate risk stratification of patients undergoing total hip (THA) and knee (TKA) arthroplasty is essential in the highly scrutinized world of pay-for-performance, value-driven healthcare. We assessed the American College of Surgeons National Surgical Quality Improvement Program(ACS-NSQIP) surgical risk calculator's ability to predict 30-day complications using 1066 publicly-reported Medicare patients undergoing primary THA or TKA. Risk estimates-were significantly associated with complications in the categories of any complication (P=.005), cardiac complication (P<.001), pneumonia (P<.001) and discharge to skilled nursing facility (P<.001). However, predictability of complication occurrence was poor for all complications assessed. To facilitate the equitable provision and reimbursement of patient care, further research is needed to develop accurate risk stratification tools in TKA and THA surgery. (C) 2015 Elsevier Inc. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available