Document Type
Article
Publication Date
9-1-2024
Abstract
PURPOSE: The purpose of this study was to determine whether the rates of (1) in-hospital lengths of stay (LOS), (2) readmissions, (3) medical complications, and (4) costs of care are higher for patients with depressive disorder (DD) undergoing primary total hip arthroplasty (THA) for treatment of femoral neck fractures (FNFs).
MATERIALS AND METHODS: A retrospective query of a national administrative claims database for patients undergoing primary THA from 2006 to 2014 was conducted. Patients with DD undergoing THA for treatment of FNF were 1:5 ratio propensity score matched to a cohort (DD=6,758, controls=33,708). Primary endpoints included LOS, 90-day medical complications, 90-day readmissions, and healthcare reimbursements. A
RESULTS: Longer LOS were observed for patients with DD compared to those without DD (5.6 days vs. 5.4 days,
CONCLUSION: Our findings showed longer LOS, higher odds of 90-day medical complications, and higher healthcare expenditures within the 90-day episode of care following a primary THA for treatment of FNF for patients with DD compared to the matched cohort. Thus, accordingly, patients with DD should receive counseling prior to undergoing surgery.
Recommended Citation
Portnoy, Antoinette R; Chen, Shirley; Tabbaa, Ameer; Magruder, Matthew L; Kang, Kevin; and Razi, Afshin E, "Complications and Healthcare Cost of Total Hip Arthroplasty in Patients with Depressive Disorder" (2024). SKMC Student Presentations and Publications. Paper 15.
https://jdc.jefferson.edu/skmcstudentworks/15
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Language
English
Comments
This article is the author's final published version in Hip and Pelvis, Volume 36, Issue 3, September 2024, Pages 204-210.
The published version is available at https://doi.org/10.5371/hp.2024.36.3.204
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