{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T13:49:17Z","timestamp":1765806557190},"reference-count":10,"publisher":"Royal College of Surgeons of England","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2006,9]]},"abstract":"INTRODUCTION<\/jats:title> The aim of the study was to identify the reasons for the higher than expected emergency re-admission to hospital within 28 days of total hip replacement (THR) for Stepping Hill Hospital, Stockport. <\/jats:p><\/jats:sec>PATIENTS AND METHODS<\/jats:title> Over a 42-month period, 65 (8.5%) of 769 patients were re-admitted within 28 days of discharge following primary THR. Case notes for 61 patients were available for retrospective review to assess premorbidity, initial postoperative complications and reason for re-admission. <\/jats:p><\/jats:sec>RESULTS<\/jats:title> The main reasons for re-admission were complications related to the procedure. These included thrombo-embolic disease 2.5%, atraumatic dislocation 1.4%, wound complications 1.2% and swollen limb 1.8%. Other causes such as admission to another department for problems not related to THR accounted for 0.8%. <\/jats:p><\/jats:sec>CONCLUSIONS<\/jats:title> Our findings are comparable with the published literature for early complications following THR. The three main reasons for re-admission were atraumatic dislocation, thrombo-embolic and wound complications such as superficial infection and haematoma are the commonest world-wide. The re-admission rate to hospital within the first 28 days following THR was a clinical indicator suggested by the UK Department of Health. It has subsequently been incorporated in a group of indicators used by the CASPE Healthcare Knowledge Systems (CHKS), a private healthcare consultancy and analysis company, for peer benchmarking. Our re-admission rates are inflated by admissions for non-THR-related reasons. The level of post-THR complications leading to re-admission were acceptable compared with the available published literature regarding 28-day re-admission. We anticipate that this study may act as a benchmark for other trusts. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588406x116909","type":"journal-article","created":{"date-parts":[[2006,9,18]],"date-time":"2006-09-18T22:46:17Z","timestamp":1158619577000},"page":"475-478","source":"Crossref","is-referenced-by-count":34,"title":["Re-Admission Rates within 28 Days of Total Hip Replacement"],"prefix":"10.1308","volume":"88","author":[{"given":"C","family":"Cullen","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics and Clinical Effectiveness Unit, Stepping Hill Hospital Stockport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DS","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics and Clinical Effectiveness Unit, Stepping Hill Hospital Stockport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics and Clinical Effectiveness Unit, Stepping Hill Hospital Stockport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","volume-title":"National Total Hip Replacement Outcome Study","author":"Department of Health","year":"2000"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)06451-4"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.58.9.569"},{"key":"b4","volume-title":"Clinical Indicators for the NHS (1994\u201395)","author":"Department of Health","year":"1997"},{"key":"b5","volume-title":"NHS Performance Indicators: a consultation","author":"Department of Health","year":"2001"},{"key":"b6","volume-title":"How Good is Our Quality of Care?","author":"Cook GA","year":"2003"},{"key":"b7","volume-title":"Tabular List of the Classification of Surgical Operations and Procedures","author":"Office of Population Censuses and Surveys","year":"1990","edition":"4"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200301000-00005"},{"key":"b9","first-page":"643","volume":"23","author":"Agnelli G","year":"2000","journal-title":"Orthopaedics"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.79.932.363"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588406X116909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:11:48Z","timestamp":1684145508000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588406X116909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,9]]}},"alternative-id":["10.1308\/003588406X116909"],"URL":"https:\/\/doi.org\/10.1308\/003588406x116909","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9]]}}}