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Can the American College of Surgeons Risk Calculator Predict 30-Day Complications After Knee and Hip Arthroplasty? J Arthroplasty 2015 Sep;30(9 Suppl):5-10

Date

07/15/2015

Pubmed ID

26165953

DOI

10.1016/j.arth.2015.01.057

Abstract

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.

Author List

Edelstein AI, Kwasny MJ, Suleiman LI, Khakhkhar RH, Moore MA, Beal MD, Manning DW

Author

Adam I. Edelstein MD Assistant Professor in the Orthopaedic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Cohort Studies
Databases, Factual
Female
Humans
Male
Medicare
Orthopedics
Patient Discharge
Postoperative Complications
Probability
Quality Improvement
Regression Analysis
Reimbursement, Incentive
Risk Assessment
Risk Factors
Societies, Medical
Surgeons
United States
jenkins-FCD Prod-411 e00897e83867fcfa48419861683711f8d99adb75