Title | Sickle cell disease and readmissions rates after lower extremity arthroplasty: a multistate analysis 2007-2014. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | Chen Y, White RS, Tangel V, Noori SA, Gaber-Baylis LK, Mehta ND, Pryor KO |
Journal | J Comp Eff Res |
Volume | 8 |
Issue | 6 |
Pagination | 403-422 |
Date Published | 2019 Apr |
ISSN | 2042-6313 |
Abstract | AIM: To compare readmission rates between patients with sickle cell disease (SCD) and non-sickle cell disease undergoing total hip and knee arthroplasty (THA and TKA). METHODS: Identified adult patients who underwent THA or TKA from 2007 to 2014 in California, Florida, New York, Maryland and Kentucky using a multistate database. Outcomes were 30- and 90-day readmission rates, mortality, complications, length of stay and hospital charges. Logistic regression models were used for analysis. RESULTS: Compared with non-sickle cell disease patients following TKA and THA, SCD patients had higher odds of 30- (odds ratio [OR]: 3.79) and 90-day readmissions (OR: 4.15), mortality (OR: 6.54), more complications, longer length of stay, and higher total charges. CONCLUSION: Following TKA and THA, SCD is associated with higher readmissions and worse outcomes. |
DOI | 10.2217/cer-2018-0098 |
Alternate Journal | J Comp Eff Res |
PubMed ID | 30892071 |