The authors performed a retrospective view of 680 shoulder arthroplasties they performed from 2005 to 2011. The overall readmission rate was 5.9%. For hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, 90-day readmission rates were 8.8%, 4.5%, and 6.6%, respectively.
For hemiarthroplasties and reverse total shoulders, readmissions were most likely to occur within 30 days of admission.
Comment: It is of interest that the reasons for readmission and the initial indications for the arthroplasties requiring readmission were very different for the three different types of arthroplasty (see below).
The authors point out the importance of trying to minimize readmissions. To do that it will be important to learn which of the 4 Ps contribute to these readmissions. Is it the problem (diagnosis/indication for surgery), the patient (tendency to fall, tendency for respiratory, cardiac, gastrointestinal, and genitourinary problems), the physician (surgeon), or the procedure (hemi vs total vs reverse)?
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