Factors Driving Readmissions in Tibia and Femur Fractures
As the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospec...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/974543 |
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| author | Alexander Chern Sarah E. Greenberg Rachel V. Thakore Vasanth Sathiyakumar William T. Obremskey Manish K. Sethi |
| author_facet | Alexander Chern Sarah E. Greenberg Rachel V. Thakore Vasanth Sathiyakumar William T. Obremskey Manish K. Sethi |
| author_sort | Alexander Chern |
| collection | DOAJ |
| description | As the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospective chart review, all patients who presented to a level 1 trauma center from 2004 to 2006 were evaluated. By using current procedural terminology codes, 1,040 patients with diaphyseal tibia or femur fractures fixed by IMN were identified. 645 patients were included for analysis. 30-day, 60-day, and 90-day readmission rates were compared with fracture type, reason for readmission, and basic demographic information. The 60-day readmission rate for open tibia fractures (14.8%) was significantly higher than the 60-day readmission rate for closed tibia fractures (8.0%) (p=0.037). When comparing reasons for 60-day readmissions, 50% of closed fractures were readmitted due to infection, while the other 50% needed additional surgery. 91.7% of open fractures readmitted in 60 days were due to infection. In a bundled payment system, orthopedic trauma must gain insight into drivers of readmission to identify those at risk for readmission and design effective healthcare plans for these patients. |
| format | Article |
| id | doaj-art-97f8beff34044273b24a4d6bc3309de9 |
| institution | DOAJ |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-97f8beff34044273b24a4d6bc3309de92025-08-20T03:20:38ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/974543974543Factors Driving Readmissions in Tibia and Femur FracturesAlexander Chern0Sarah E. Greenberg1Rachel V. Thakore2Vasanth Sathiyakumar3William T. Obremskey4Manish K. Sethi5The Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAThe Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAThe Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAThe Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAThe Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAThe Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, 1215 21st Avenue S., MCE, South Tower, Suite 4200, Nashville, TN 37232, USAAs the American healthcare system shifts towards bundled payments, readmissions will become a measure of healthcare quality. The purpose of this study was to characterize readmission trends and factors influencing readmission in patients with diaphyseal femur and tibia fractures. Through a retrospective chart review, all patients who presented to a level 1 trauma center from 2004 to 2006 were evaluated. By using current procedural terminology codes, 1,040 patients with diaphyseal tibia or femur fractures fixed by IMN were identified. 645 patients were included for analysis. 30-day, 60-day, and 90-day readmission rates were compared with fracture type, reason for readmission, and basic demographic information. The 60-day readmission rate for open tibia fractures (14.8%) was significantly higher than the 60-day readmission rate for closed tibia fractures (8.0%) (p=0.037). When comparing reasons for 60-day readmissions, 50% of closed fractures were readmitted due to infection, while the other 50% needed additional surgery. 91.7% of open fractures readmitted in 60 days were due to infection. In a bundled payment system, orthopedic trauma must gain insight into drivers of readmission to identify those at risk for readmission and design effective healthcare plans for these patients.http://dx.doi.org/10.1155/2015/974543 |
| spellingShingle | Alexander Chern Sarah E. Greenberg Rachel V. Thakore Vasanth Sathiyakumar William T. Obremskey Manish K. Sethi Factors Driving Readmissions in Tibia and Femur Fractures Advances in Orthopedics |
| title | Factors Driving Readmissions in Tibia and Femur Fractures |
| title_full | Factors Driving Readmissions in Tibia and Femur Fractures |
| title_fullStr | Factors Driving Readmissions in Tibia and Femur Fractures |
| title_full_unstemmed | Factors Driving Readmissions in Tibia and Femur Fractures |
| title_short | Factors Driving Readmissions in Tibia and Femur Fractures |
| title_sort | factors driving readmissions in tibia and femur fractures |
| url | http://dx.doi.org/10.1155/2015/974543 |
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