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Updated: Sep 20, 2025
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Predictive factors for discharge destination after total hip arthroplasty
Hirokazu Iwata1, Kosuke Sakata1, Hozo Matsuoka1
1Itami City Hospital, Department of Orthopaedic Surgery, Japan.
Summary
Older age, lower preoperative hip scores, and living alone are key factors influencing discharge destination after total hip arthroplasty (THA). These insights help predict whether patients will go home or to inpatient rehabilitation.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Health Services Research
Background:
- Total hip arthroplasty (THA) is a common procedure for osteoarthritis.
- Discharge destination planning is crucial for patient recovery and healthcare resource allocation.
- Clinical pathways aim to standardize care and optimize outcomes following THA.
Purpose of the Study:
- To identify factors influencing discharge destination (home vs. inpatient rehabilitation) after THA.
- To analyze the impact of patient characteristics and preoperative status on discharge outcomes.
- To inform clinical decision-making and pathway adjustments for THA patients.
Main Methods:
- Retrospective study of 500 patients undergoing unilateral THA.
- Analysis of variables including age, height, weight, living arrangement, and preoperative scores.
- Univariate and multivariate logistic regression to determine significant predictors of discharge destination.
Main Results:
- 66 out of 500 patients were discharged to inpatient rehabilitation; 434 went home directly.
- Patients discharged to rehabilitation were significantly older, shorter, lighter, and more likely to live alone.
- Higher age, lower preoperative Japanese Orthopaedic Association hip score, and living alone were independent predictors of discharge to rehabilitation.
Conclusions:
- Age, preoperative hip function, and living situation are critical determinants of discharge destination post-THA.
- These factors can help predict the need for inpatient rehabilitation versus direct discharge home.
- Understanding these predictors can optimize discharge planning and resource allocation in THA care pathways.
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