Sickle cell disease and readmissions rates after lower extremity arthroplasty: a multistate analysis 2007–2014

Author:

Chen Yuefan1,White Robert S2,Tangel Virginia3,Noori Selaiman A4,Gaber-Baylis Licia K3,Mehta Neel D1,Pryor Kane O1

Affiliation:

1. Department of Anesthesiology, Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065, USA

2. Department of Anesthesiology, New York-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065, USA

3. Center for Perioperative Outcomes, Department of Anesthesiology, Weill Cornell Medicine, 428 East 72nd St, Ste 800A, New York, NY 10021, USA

4. Department of Pain Management, Anesthesiology Institute, Cleveland Clinic, 9500 Euclid Ave, C-25, Cleveland, OH 44195, USA

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.

Publisher

Future Medicine Ltd

Subject

Health Policy

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