Key result
Inpatient rehab discharge after TKA is linked to ~676% higher 30-day readmission versus home self-care.
Why the study?
Racial variations in access to postacute care and rehabilitation services after elective total knee arthroplasty and their association with 30-day readmission were unclear.
Does discharge to inpatient rehabilitation facilities or skilled nursing facilities increase 30-day readmission compared to home-based self-care in patients after elective total knee arthroplasty?
Population
129,522 patients discharged from 169 hospitals in Pennsylvania after elective total knee arthroplasty
Comparison
Discharge to inpatient rehabilitation facilities or skilled nursing facilities vs discharge home with self-care
Design
Observational cohort study
Follow-up
30-day
Authors
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May support home discharge preference after elective TKA; leaves open whether selection bias drives the readmission association.
Observational (n=129,522)
Yes
Does discharge to inpatient rehabilitation facilities or skilled nursing facilities increase 30-day readmission compared to home-based self-care in patients after elective total knee arthroplasty?
Odds Ratio: 7.76
African American patients are more likely to be discharged to inpatient rehabilitation settings following total knee arthroplasty, which is associated with significantly higher odds of 30-day readmission compared to home discharge.
Jorgenson et al. (2015) conducted an observational in Elective total knee arthroplasty (n=129,522). Discharge to inpatient rehabilitation facility (IRF) vs. Discharge home with self-care was evaluated on 30-day readmission to acute care facility (OR 7.76). Discharge to an inpatient rehabilitation facility after elective total knee arthroplasty was associated with significantly higher odds of 30-day readmission compared to home self-care (MV OR 7.76).