Çetin Aslan Emine, Ağırbaş İsmail
Department of Health Management, Uşak University, Vocational School of Health Services, Uşak, Turkey.
Department of Health Institutions Management, Ankara University, Faculty of Health Science, Ankara, Turkey.
Turk J Phys Med Rehabil. 2020 Mar 3;66(1):31-39. doi: 10.5606/tftrd.2020.3916. eCollection 2020 Mar.
The aim of the study was to investigate the causes and rates of readmissions within 90 days after primary and revision knee and hip arthroplasties.
A total of 1,516 patients (290 males, 1,226 females; mean age 64.7±10.5 years; range, 21 to 91 years) who underwent primary total hip arthroplasty (THA), primary total knee arthroplasty (TKA), revision THA, and revision TKA between January 2013 and December 2014 were retrospectively analyzed. All readmissions within 90 days as of discharge dates of patients were analyzed and were categorized as planned readmissions related to the index admission, unplanned readmissions related to the index admission, planned readmissions unrelated to the index admission and unplanned readmissions unrelated to the index admission.
Readmission rate in the overall of study group was found to be 5.61%. This rate varied depending on the procedure applied, ranging between 2.35 and 6.74%. Unplanned readmissions related to the index admission within 90 days consisted of 60.0% of total readmissions. A total of 82.0% of readmissions within 90 days was due to surgical reasons. Planned readmissions unrelated to the index admission within 90 days were also frequently seen (31.76%). Totally 48.23% of total readmissions within 90 days occurred within the first 30 days. A total of 48.23% of the total readmissions and 58.82% of the readmissions which were unplanned and related to the index admission occurred within the first 30 days.
After knee and hip arthroplasties, readmissions occur due to various reasons. Therefore, it is of utmost importance to identify the readmission type in the evaluation of readmissions which may increase the effectiveness of precautions to be taken.
本研究旨在调查初次及翻修膝关节和髋关节置换术后90天内再入院的原因及发生率。
回顾性分析了2013年1月至2014年12月期间接受初次全髋关节置换术（THA）、初次全膝关节置换术（TKA）、翻修THA和翻修TKA的1516例患者（290例男性，1226例女性；平均年龄64.7±10.5岁；年龄范围21至91岁）。分析了患者出院日期起90天内的所有再入院情况，并将其分为与初次入院相关的计划再入院、与初次入院相关的非计划再入院、与初次入院无关的计划再入院以及与初次入院无关的非计划再入院。
研究组总体再入院率为5.61%。该率因所采用的手术方式而异，在2.35%至6.74%之间。90天内与初次入院相关的非计划再入院占总再入院的60.0%。90天内82.0%的再入院是由于手术原因。90天内与初次入院无关的计划再入院也很常见（31.76%）。90天内48.23%的总再入院发生在头30天内。90天内48.23%的总再入院以及58.82%的非计划且与初次入院相关的再入院发生在头30天内。
膝关节和髋关节置换术后，再入院有多种原因。因此，在评估再入院时识别再入院类型至关重要，这可能会提高所采取预防措施的有效性。
