Inpatient Cost of Complications after Total Hip and Knee Arthroplasty
In this large national cohort, perioperative complications substantially increased hospital costs, largely via prolonged LOS. Although sepsis, stroke, and myocardial infarction were most expensive per case, the overall healthcare burden was driven by frequent complications and resource use, including intensive care unit admission, acute renal failure, pulmonary complications, mechanical ventilation, and concurrent complications. These findings suggest that targeting frequent complications and resource intensive care processes may yield the greatest impact on reducing hospital expenditures in arthroplasty surgery.
Authors
- Jashvant Poeran (ORCID: https://orcid.org/0000-0001-7058-5102)
- Crispiana Cozowicz (ORCID: https://orcid.org/0000-0002-8058-4135)
- Alex Illescas (ORCID: https://orcid.org/0000-0002-7720-9473)
- Haoyan Zhong (ORCID: https://orcid.org/0000-0002-3114-0263)
- Lisa Reisinger (ORCID: https://orcid.org/0000-0002-8125-850X)
- Jiabin Liu (ORCID: https://orcid.org/0000-0002-1029-2786)
- Periklis Giannakis (ORCID: https://orcid.org/0000-0002-6192-6371)
- Stavros G. Memtsoudis (ORCID: https://orcid.org/0000-0001-9093-0030)
Institutions
- Hospital for Special Surgery (US)
- Cornell University (US)
- Paracelsus Medical University (AT)
Publication Details
- Journal
- Anesthesiology
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1097/aln.0000000000005856
- Citations
- 1
- Primary Topic
- Total Knee Arthroplasty Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.01