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. 2017 Jul 5;99(13):1093–1103. doi: 10.2106/JBJS.16.00874

TABLE VI.

Risk of All-Cause or TKA-Specific Readmission 30 Days After TKA Based on Hospital Annual Volume of TKAs (N = 377,705)

30-Day Readmissions*
CMS TKA-Specific† (N = 2,449; C-Statistic = 0.66)
Expanded TKA-Specific (N = 6,784; C-Statistic = 0.66)
All-Cause§ (N = 22,076; C-Statistic = 0.69)
Hospital Annual Volume# OR (95% CI) P Value OR (95% CI) P Value OR (95% CI) P Value
≤89 vs. ≥645 1.32 (1.16, 1.51) <0.001 1.43 (1.32, 1.56) <0.001 1.26 (1.20, 1.32) <0.001
90-235 vs. ≥645 1.09 (0.97, 1.22) 0.160 1.24 (1.15, 1.33) <0.001 1.05 (1.01, 1.09) 0.021
236-644 vs. ≥645 0.95 (0.84, 1.08) 0.429 1.01 (0.93, 1.08) 0.896 0.74 (0.71, 0.78) <0.001
*

Readmission categories are not mutually exclusive. †Readmissions due to any of 8 diagnoses designated by the CMS as TKA-specific complications (see Appendix).

Readmissions due to a diagnosis on an expanded list of TKA-specific complications, including 22 additional TKA-specific complications selected by a group of experts (see Appendix).

§

Readmissions due to all causes, including 918 conditions not included in the CMS-defined or expanded list of TKA-specific complications (see Appendix).

#

Thresholds for hospital annual volume were determined using SSLR analysis as described in the Materials and Methods section.

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