CORR Insights®: Preoperative Activities of Daily Living Dependency Is Associated With Higher 30-Day Readmission Risk for Older Adults After Total Joint Arthroplasty

摘要

Total joint arthroplasty (TJA) is among the most common surgical procedures in the United States and the incidences of THA and TKA are projected to continue to increase through 2030 [9]. With the advent of bundled payments, there have been concerted efforts to lower costs associated with TJA, and consequently many more patients are now being discharged to home after TJA rather than being discharged to an inpatient extended care facility. Hospital discharges to postoperative skilled nursing or in-patient rehabilitation are on average more costly than discharges to home [5]. The cost of discharge to an extended care facility ranges from USD 6000 to USD 16,000 greater than discharge to home [8].