Factors other than complexity of care often drive the transfer of orthopedic patients to tertiary centers. We sought to compare the demographics, diagnoses, insurance data, peri-operative outcomes and institutional costs of total hip arthroplasty patients transferred from outside facilities with those of patients derived from our clinics. We analyzed 419 consecutive patients as part of a prospective risk study. Transferred patients were older (P = 0.01), less likely to have private insurance (P < 0.0001), and more likely to be admitted on weekends (P = 0.04). Both dislocation and fracture were more prevalent in transferred patients (P = 0.04; P = 0.003). Across all key metrics – including length of stay, mortality scoring, peri-operative complications, and direct and total costs – transferred patients more significantly strained the resources of our arthroplasty center.
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The Journal of Arthroplasty, Volume 28, Issue 9, 1687 - 1692
Hip
Transfer of Hip Arthroplasty Patients Leads to Increased Cost and Resource Utilization in the Receiving Hospital
Kamath, Atul F. et al.Hip