干旱区生态环境知识资源中心(Arid): Social determinants of health in total knee arthroplasty ARE SOCIAL FACTORS ASSOCIATED WITH INCREASED 30-DAY POST-DISCHARGE COST OF CARE AND LENGTH OF STAY?

Arid

DOI	10.1302/0301-620X.103B6.BJJ-2020-2430.R1
	Social determinants of health in total knee arthroplasty ARE SOCIAL FACTORS ASSOCIATED WITH INCREASED 30-DAY POST-DISCHARGE COST OF CARE AND LENGTH OF STAY?
	Delanois, R. E.; Tarazi, J. M.; Wilkie, W. A.; Remily, E.; Salem, H. S.; Mohamed, N. S.; Pollack, A. N.; Mont, M. A.
通讯作者	Mont, MA (corresponding author), Sinai Hosp Baltimore, Baltimore, MD 21215 USA.
来源期刊	BONE & JOINT JOURNAL
ISSN	2049-4394
出版年	2021
卷号	103B 期号:6 页码:113-118
英文摘要	Aims Social determinants of health (SDOHs) may contribute to the total cost of care (TCOC) for patients undergoing total knee arthroplasty (TKA). The aim of this study was to investigate the association between demographic data, health status, and SDOHs on 30-day length of stay (LOS) and TCOC after this procedure. Methods Patients who underwent TKA between 1 January 2018 and 31 December 2019 were identified. A total of 234 patients with complete SDOH data were included. Data were drawn from the Chesapeake Regional Information System, the Centers for Disease Control social vulnerability index (SVI), the US Department of Agriculture, and institutional electronic medical records. The SVI identifies areas vulnerable to catastrophic events with four themed scores: socioeconomic status; household composition and disability; minority status and language; and housing and transportation. Food deserts were defined as neighbourhoods located one or ten miles from a grocery store in urban and rural areas, respectively. Multiple regression analyses were performed to determine associations with LOS and costs after controlling for various demographic parameters. Results Divorced status was significantly associated with an increased LOS (p = 0.043). Comorbidities significantly associated with an increased LOS included chronic obstructive pulmonary disease/asthma and congestive heart failure (p = 0.043 and p = 0.001, respectively). Communities with a higher density of tobacco stores were significantly associated with an increased LOS (p = 0.017). Comorbidities significantly associated with an increased TCOC included chronic obstructive pulmonary disease (p = 0.004), dementia (p = 0.048), and heart failure (p = 0.007). Increased TCOCs were significantly associated with patients who lived in food deserts (p = 0.001) and in areas with an increased density of tobacco stores (p = 0.023). Conclusion Divorced marital status was significantly associated with an increased LOS following TKA. Living in food deserts and in communities with more tobacco stores were significant risk factors for increased LOS and TCOC. Food access and ease of acquiring tobacco may both prove to be prognostic of outcome after TKA and an opportunity for intervention.
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000669366800018
WOS关键词	TOBACCO OUTLET DENSITY ; TOTAL HIP ; JOINT ARTHROPLASTY ; BOOMERS
WOS类目	Orthopedics ; Surgery
WOS研究方向	Orthopedics ; Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/349739
作者单位	[Delanois, R. E.; Wilkie, W. A.; Remily, E.; Mohamed, N. S.; Pollack, A. N.] Sinai Hosp Baltimore, Rubin Inst Adv Orthoped, Ctr Joint Preservat & Replacement, Baltimore, MD USA; [Tarazi, J. M.; Salem, H. S.; Mont, M. A.] Sinai Hosp Baltimore, Baltimore, MD 21215 USA
推荐引用方式 GB/T 7714	Delanois, R. E.,Tarazi, J. M.,Wilkie, W. A.,et al. Social determinants of health in total knee arthroplasty ARE SOCIAL FACTORS ASSOCIATED WITH INCREASED 30-DAY POST-DISCHARGE COST OF CARE AND LENGTH OF STAY?[J],2021,103B(6):113-118.
APA	Delanois, R. E..,Tarazi, J. M..,Wilkie, W. A..,Remily, E..,Salem, H. S..,...&Mont, M. A..(2021).Social determinants of health in total knee arthroplasty ARE SOCIAL FACTORS ASSOCIATED WITH INCREASED 30-DAY POST-DISCHARGE COST OF CARE AND LENGTH OF STAY?.BONE & JOINT JOURNAL,103B(6),113-118.
MLA	Delanois, R. E.,et al."Social determinants of health in total knee arthroplasty ARE SOCIAL FACTORS ASSOCIATED WITH INCREASED 30-DAY POST-DISCHARGE COST OF CARE AND LENGTH OF STAY?".BONE & JOINT JOURNAL 103B.6(2021):113-118.