骨科30天再入院率的系统综述与荟萃分析

数据集获取（Figshare）

• 源站标题：Thirty-Day Readmission Rates in Orthopedics: A Systematic Review and Meta-Analysis
• DOI：10.1371/journal.pone.0123593
• 发布日期：2015-04-17
• 文件数：3 个
• 文件总体积：110.54 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Thirty_Day_Readmission_Rates_in_Orthopedics_A_Systematic_Review_and_Meta_Analysis_/1384474

命令行下载

curl -L -o "S1_Table.docx" "https://ndownloader.figshare.com/files/2027335"
curl -L -o "S2_Table.docx" "https://ndownloader.figshare.com/files/2027336"
curl -L -o "S1_PRISMA_Checklist.doc" "https://ndownloader.figshare.com/files/2027337"

文件清单

• S1_Table.docx（24.29 KB）
• S2_Table.docx（21.75 KB）
• S1_PRISMA_Checklist.doc（64.51 KB）

文件总体积 110.54 KB（源站 API 实测）。

数据说明

Background
Hospital readmission rates are being used to evaluate performance. A survey of the present rates is needed before policies can be developed to decrease incidence of readmission. We address three questions: What is the present rate of 30-day readmission in orthopedics? How do factors such as orthopedic specialty, data source, patient insurance, and time of data collection affect the 30-day readmission rate? What are the causes and risk factors for 30-day readmissions?
Methods/Findings
A review was first registered with Prospero (CRD42014010293, 6/17/2014) and a meta-analysis was performed to assess the current 30-day readmission rate in orthopedics. Studies published after 2006 were retrieved, and 24 studies met the inclusion criteria. The 30-day readmission rate was extrapolated from each study along with the orthopedic subspecialty, data source, patient insurance, time of collection, patient demographics, and cause of readmission. A sensitivity analysis was completed on the stratified groups. The overall 30-day readmission rate across all orthopedics was 5.4 percent (95% confidence interval: 4.8,6.0). There was no significant difference between subspecialties. Studies that retrieved data from a multicenter registry had a lower 30-day readmission rate than those reporting data from a single hospital or a large national database. Patient populations that only included Medicare patients had a higher 30-day readmission rate than populations of all insurance. The 30-day readmission rate has decreased in the past ten years. Age, length of stay, discharge to skilled nursing facility, increased BMI, ASA score greater than 3, and Medicare/Medicaid insurance showed statistically positive correlation with increased 30-day readmissions in greater than 75 percent of studies. Surgical site complications accounted for 46 percent of 30-day readmissions.
Conclusions
This meta-analysis shows the present rate of 30-day readmissions in orthopedics. Demonstrable heterogeneity between studies underlines the importance of uniform collection and reporting of readmission rates for hospital evaluation and reimbursement.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0123593（source: https://plos.figshare.com/articles/dataset/_Thirty_Day_Readmission_Rates_in_Orthopedics_A_Systematic_Review_and_Meta_Analysis_/1384474）。