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Medicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.

TitleMedicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.
Publication TypeJournal Article
Year of Publication2019
AuthorsMaman SR, Andreae MH, Gaber-Baylis LK, Turnbull ZA, White RS
JournalJ Comp Eff Res
Volume8
Issue14
Pagination1213-1228
Date Published2019 Oct
ISSN2042-6313
Abstract

Medicaid versus private primary insurance status may predict in-hospital mortality and morbidity after total knee arthroplasty (TKA). Regression models were used to test our hypothesis in patients in the State Inpatient Database (SID) from five states who underwent primary TKA from January 2007 to December 2014. Medicaid patients had greater odds of in-hospital mortality (odds ratio [OR]: 1.73; 95% CI: 1.01-2.95), greater odds of any postoperative complications (OR: 1.25; 95% CI: 1.18-1.33), experience longer lengths of stay (OR: 1.09; 95% CI: 1.08-1.10) and higher total charges (OR: 1.03; 95% CI: 1.02-1.04). Medicaid insurance status is associated with higher in-hospital mortality and morbidity in patients after TKA compared with private insurance.

DOI10.2217/cer-2019-0027
Alternate JournalJ Comp Eff Res
PubMed ID31642330
PubMed Central IDPMC6817964
Grant ListTL1 TR002016 / TR / NCATS NIH HHS / United States

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