Total Ankle Arthroplasty: Comparing Perioperative Outcomes When Performed at an Orthopaedic Specialty Hospital versus an Academic Teaching Hospital

Foot & Ankle Orthopaedics

DavidBeck¹ 

关键词: total ankle arthroplasty;    healthcare policy;    length of stay;   

DOI  :  10.1177/2473011417S000117

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, Ankle ArthritisIntroduction/Purpose:The number of total ankle arthroplasties (TAA) performed in the United States has risen significantly in recent years. Additionally, utilization of an orthopaedic specialty hospital (OSH) to treat healthy patients undergoing elective surgery is becoming more common. The effect of OSH utilization on post-operative outcomes following TAA has yet to be investigated. The purpose of this study is to compare post-operative outcomes following TAA at an OSH when compared to a matching population of patients undergoing TAA at an academic teaching hospital (ATH).Methods:We identified all primary, atraumatic TAA from January 2014 to December 2014 at the OSH and January 2010 to January 2016 at the ATH. Each OSH patient was manually matched to a corresponding ATH patient by clinical variables (age adjusted Charlson comorbidity index [AACCI], 17 individual comorbidity categories, and body mass index [BMI] and demographic variable (age, gender, and insurance type). Mat...

【 授权许可】

CC BY