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* |
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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) |
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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.