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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2020

27.02.2019 | HIP

Risk factors for 30-day readmission following hip arthroscopy

verfasst von: Matthew J. Hartwell, Allison M. Morgan, Daniel J. Johnson, Richard W. Nicolay, Ryan S. Selley, Vehniah K. Tjong, Michael A. Terry

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 4/2020

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Abstract

Purpose

Hip arthroscopy is known to be safe with low rates of postoperative complications. The purpose of this study is to evaluate hip arthroscopy cases in a national surgical database to identify risk factors associated with readmission.

Methods

The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2012 to 2016 for current procedural terminology billing codes related to hip arthroscopy. International Classification of Diseases diagnostic codes were used to exclude cases involving infection, fracture, or open procedures. Univariate and multivariate analyses were performed to identify risk factors associated with 30-day readmission.

Results

1493 patients were identified who had undergone hip arthroscopy. The most common procedures were labral resection or chondroplasty (n = 589, 39.5%) and femoroplasty (n = 527, 35.3%). The 30-day complication rate was 1.7% and the most common complications following the procedure were bleeding (n = 12, 0.8%) superficial infections (n = 5, 0.3%), and returning to the operating room (n = 4, 0.3%). The 30-day readmission rate was 1.3%. On multivariate analysis, hypertension requiring anti-hypertensive medication (odds ratio [OR], 3.5; 95% confidence interval [CI], 1.4–8.7) and chronic corticosteroid or immunosuppressant use (OR 7.2; 95% CI 1.9–26.7) were identified as independent risk factors for readmission. There was no difference in complication rates when hip arthroscopy was performed with isolated femoroplasty (n = 340), isolated acetabuloplasty (n = 103), both (n = 187) or neither (n = 863).

Conclusion

These findings confirm that the 30-day readmission (1.3%) and complication rate (1.7%) are low for isolated hip arthroscopy procedures; however, hypertension and chronic steroid use are independent risk factors for readmission.

Level of evidence

Retrospective comparative study, Level III.
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Metadaten
Titel
Risk factors for 30-day readmission following hip arthroscopy
verfasst von
Matthew J. Hartwell
Allison M. Morgan
Daniel J. Johnson
Richard W. Nicolay
Ryan S. Selley
Vehniah K. Tjong
Michael A. Terry
Publikationsdatum
27.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 4/2020
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-019-05415-4

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