File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Incidence of 30-day readmission after total knee arthroplasty and its associated factors in Hong Kong

TitleIncidence of 30-day readmission after total knee arthroplasty and its associated factors in Hong Kong
香港全膝關節置換術後30天內再住院率及相關因素
Authors
Issue Date5-Dec-2024
PublisherHong Kong Academy of Medicine
Citation
Hong Kong Medical Journal, 2024, v. 30, n. 6, p. 461-467 How to Cite?
AbstractIntroduction: Total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic procedures worldwide, due to the increased prevalence of osteoarthritis associated with an ageing global population. Although many studies have focused on the causes of readmission among TKA patients within 30 days post-surgery, none have been conducted in Hong Kong. This study investigated the 30-day readmission rate, causes, and risk factors among TKA patients in Hong Kong. Methods: This retrospective review included patients who underwent TKA at a local university-affiliated hospital between 2001 and 2020. Eligible patients were identified using the Clinical Data Analysis and Reporting System and electronic patient records. Their data were analysed to determine the 30-day readmission rate, risk factors, and underlying causes. Results: Among the 3827 TKA patients included, the male-to-female ratio was 1:2.78 (1012:2815) and the mean age (±standard deviation) was 71.11±8.82 years. Of these patients, 3.4% underwent unplanned readmission to hospitals through the Accident and Emergency Department within 30 days of TKA. The most common causes of readmission were knee pain (33.1%), knee swelling (26.2%), and gastrointestinal-related conditions (8.5%). Age ≥80 years (odds ratio [OR]=1.63; P=0.01) and hypertension (OR=2.08; P<0.001) were risk factors for readmission. Bilateral simultaneous TKA (OR=0.42; P=0.005) was associated with lower risk of readmission. Conclusion: The readmission rate in this study was 3.4%, comparable to rates in previous reports. Enhanced patient education and optimised perioperative pain management are needed to minimise hospital readmissions. Fall prevention, cautious painkiller prescribing, and improved nursing care are recommended to prevent readmission.
引言:隨着全球人口老化,骨關節炎問題日趨嚴重,全膝關節置換術成為其中一種最常進行的骨外科手術。雖然有不少文獻集中研究接受全膝關節置換術的患者在術後30天內再住院的情況及原因,但香港卻沒有同類研究。本研究找出本港患者的30天內再住院率、原因及風險因素。 方法:本回顧性研究包括於2001至2020年期間在本港某所大學附設醫院接受全膝關節置換術的患者。我們透過醫療資料分析及匯報系統及電子病歷篩選出合資格患者,然後分析他們的資料,以找出30天內再住院率、風險因素及背後原因。 結果:本研究共納入3827名接受全膝關節置換術的患者,男女比例為1:2.78(1012:2815),平均年齡(±標準差)為71.11±8.82歲。在這些患者中,3.4%在接受全膝關節置換術30天內經急症室計劃外再住院。再住院的最常見原因為膝痛(33.1%)、膝蓋腫脹(26.2%)及胃腸道相關疾病(8.5%)。年齡達80歲或以上(勝算比=1.63;P=0.01)及高血壓(勝算比=2.08;P<0.001)是再住院的風險因素。接受雙側同步全膝關節置換術(勝算比=0.42;P=0.005)與較低再住院風險相關。 結論:本研究的再住院率為3.4%,與其他報告及文獻相若。我們認為需加強教育患者及改進圍手術期疼痛管理,以減低再住院情況,並建議防止跌倒、謹慎處方止痛藥及改善護理程序,以避免患者再住院。
Persistent Identifierhttp://hdl.handle.net/10722/353733
ISSN
2023 Impact Factor: 3.1
2023 SCImago Journal Rankings: 0.261

 

DC FieldValueLanguage
dc.contributor.authorTsui, Omar W.K.-
dc.contributor.authorChan, P. K.-
dc.contributor.authorLeung, Jeffery H.Y.-
dc.contributor.authorCheung, Amy-
dc.contributor.authorChan, Vincent W.K.-
dc.contributor.authorLuk, Michelle Hilda-
dc.contributor.authorCheung, M. H.-
dc.contributor.authorFu, Henry-
dc.contributor.authorChiu, K. Y.-
dc.date.accessioned2025-01-23T00:35:47Z-
dc.date.available2025-01-23T00:35:47Z-
dc.date.issued2024-12-05-
dc.identifier.citationHong Kong Medical Journal, 2024, v. 30, n. 6, p. 461-467-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/353733-
dc.description.abstractIntroduction: Total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic procedures worldwide, due to the increased prevalence of osteoarthritis associated with an ageing global population. Although many studies have focused on the causes of readmission among TKA patients within 30 days post-surgery, none have been conducted in Hong Kong. This study investigated the 30-day readmission rate, causes, and risk factors among TKA patients in Hong Kong. Methods: This retrospective review included patients who underwent TKA at a local university-affiliated hospital between 2001 and 2020. Eligible patients were identified using the Clinical Data Analysis and Reporting System and electronic patient records. Their data were analysed to determine the 30-day readmission rate, risk factors, and underlying causes. Results: Among the 3827 TKA patients included, the male-to-female ratio was 1:2.78 (1012:2815) and the mean age (±standard deviation) was 71.11±8.82 years. Of these patients, 3.4% underwent unplanned readmission to hospitals through the Accident and Emergency Department within 30 days of TKA. The most common causes of readmission were knee pain (33.1%), knee swelling (26.2%), and gastrointestinal-related conditions (8.5%). Age ≥80 years (odds ratio [OR]=1.63; P=0.01) and hypertension (OR=2.08; P<0.001) were risk factors for readmission. Bilateral simultaneous TKA (OR=0.42; P=0.005) was associated with lower risk of readmission. Conclusion: The readmission rate in this study was 3.4%, comparable to rates in previous reports. Enhanced patient education and optimised perioperative pain management are needed to minimise hospital readmissions. Fall prevention, cautious painkiller prescribing, and improved nursing care are recommended to prevent readmission.-
dc.description.abstract引言:隨着全球人口老化,骨關節炎問題日趨嚴重,全膝關節置換術成為其中一種最常進行的骨外科手術。雖然有不少文獻集中研究接受全膝關節置換術的患者在術後30天內再住院的情況及原因,但香港卻沒有同類研究。本研究找出本港患者的30天內再住院率、原因及風險因素。 方法:本回顧性研究包括於2001至2020年期間在本港某所大學附設醫院接受全膝關節置換術的患者。我們透過醫療資料分析及匯報系統及電子病歷篩選出合資格患者,然後分析他們的資料,以找出30天內再住院率、風險因素及背後原因。 結果:本研究共納入3827名接受全膝關節置換術的患者,男女比例為1:2.78(1012:2815),平均年齡(±標準差)為71.11±8.82歲。在這些患者中,3.4%在接受全膝關節置換術30天內經急症室計劃外再住院。再住院的最常見原因為膝痛(33.1%)、膝蓋腫脹(26.2%)及胃腸道相關疾病(8.5%)。年齡達80歲或以上(勝算比=1.63;P=0.01)及高血壓(勝算比=2.08;P<0.001)是再住院的風險因素。接受雙側同步全膝關節置換術(勝算比=0.42;P=0.005)與較低再住院風險相關。 結論:本研究的再住院率為3.4%,與其他報告及文獻相若。我們認為需加強教育患者及改進圍手術期疼痛管理,以減低再住院情況,並建議防止跌倒、謹慎處方止痛藥及改善護理程序,以避免患者再住院。-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine-
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleIncidence of 30-day readmission after total knee arthroplasty and its associated factors in Hong Kong-
dc.title香港全膝關節置換術後30天內再住院率及相關因素-
dc.typeArticle-
dc.identifier.doi10.12809/hkmj2310733-
dc.identifier.pmid39632766-
dc.identifier.scopuseid_2-s2.0-85214318449-
dc.identifier.volume30-
dc.identifier.issue6-
dc.identifier.spage461-
dc.identifier.epage467-
dc.identifier.eissn2226-8707-
dc.identifier.issnl1024-2708-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats