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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Related Experiment Video

Updated: May 6, 2026

Reverse Total Shoulder Arthroplasty
10:10

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Published on: July 5, 2011

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Readmission after shoulder arthroplasty.

Andrew Mahoney1, Joseph A Bosco1, Joseph D Zuckerman1

  • 1Division of Shoulder and Elbow Surgery at the Hospital for Joint Diseases of NYU Langone Medical Center, New York, NY, USA.

Journal of Shoulder and Elbow Surgery
|October 19, 2013
PubMed
Summary
This summary is machine-generated.

Shoulder arthroplasty readmission rates were 5.9% within 90 days, with 1% "never events." Most readmissions for hemiarthroplasty and reverse total shoulder arthroplasty occurred within 30 days, impacting quality assessments.

Keywords:
Retrospective casecontrolled studytreatment study

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research
  • Quality Improvement in Healthcare

Background:

  • Healthcare payers increasingly link reimbursement to quality metrics.
  • Readmission rates after total joint arthroplasty are key quality indicators.
  • The Affordable Care Act penalizes costs associated with joint arthroplasty readmissions within 30 days.

Purpose of the Study:

  • To evaluate readmission rates following inpatient shoulder arthroplasty.
  • To determine the incidence of "never events" after shoulder arthroplasty.
  • To analyze readmission patterns at 30, 60, and 90 days post-procedure.

Main Methods:

  • Retrospective analysis of 680 shoulder arthroplasty procedures from 2005 to 2011.
  • Assessment of readmission rates at 30, 60, and 90 days post-surgery.
  • Analysis of "never events" incidence as defined by CMS.

Main Results:

  • Overall 90-day readmission rate was 5.9%.
  • Specific 90-day readmission rates: Hemiarthroplasty (HA) 8.8%, Total Shoulder Arthroplasty (TSA) 4.5%, Reverse Total Shoulder Arthroplasty (RTSA) 6.6%.
  • Incidence of "never events" was 1.0%, with no significant difference between procedure types. Readmissions for HA and RTSA were more frequent within 30 days.

Conclusions:

  • Nearly 6% of shoulder arthroplasty patients were readmitted within 90 days.
  • A 1% incidence of "never events" was observed.
  • Readmission rates, particularly early ones after HA and RTSA, are critical for healthcare expenditure scrutiny and quality evaluation.