What are the risk factors for discharge to a post-acute care facility after TSA? 4 insights

Orthopedic

A study, published in the Journal of Shoulder and Elbow Surgery, identified the risk factors for discharge to a post-acute care facility after total shoulder arthroplasty.

Researchers examined the Nationwide Inpatient Sample discharge records from 2011 to 2012 for patients who underwent a TSA or reverse total shoulder arthroplasty. Patient and hospital characteristics were identified.

 

In 2011 and 2012, a total of 103,798 patients underwent shoulder arthroplasty procedures — 58,937 underwent TSA and 44,893 underwent reverse TSA.

 

Here are four insights:

 

1. The study found reverse TSA were 1.3 times more likely to be discharged to a post-acute care facility as TSA patients.

 

2. Medicare patients were twice as likely to be discharged to a post-acute care facility as compared to patients with private insurance.

 

3. Women and patients with a fracture or a higher number of medical comorbidities were more likely to be discharged to a post-acute care facility.

 

4. Older women and patients were more likely to be discharged to a post-acute care facility.

 

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