Demographic Tendencies and Hospitalization Outcomes Among Inpatient Admissions of Osteoarthritis in the Midwest: A 2016 State Inpatient Database Study.

Charles A Gusho,Mark Jenson

doi:10.7759/cureus.7959

Abstract

ObjectiveTo assess the inpatient prevalence of osteoarthritis in a Midwestern state and to identify trends in demographics and hospital outcomes.MethodsThe Wisconsin State Inpatient Sample Database (2016) was queried to identify hospitalization records with a primary diagnosis of osteoarthritis. Bivariate correlation, descriptive statistics, and single-layer mean comparison were used for categorical and continuous data within the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) sub-groups.ResultsIn 2016, there were 64,805 admissions of osteoarthritis. The most common (>0.09%) were the right knee osteoarthritis (24.5%), left knee osteoarthritis (23%), right hip osteoarthritis (16.9%), left hip osteoarthritis (14.3%), knee unspecified osteoarthritis (11.5%), bilateral knees osteoarthritis (7%), and right shoulder osteoarthritis (2%). The mean age on admission was 67 years for each hip osteoarthritis, 66 years for each knee osteoarthritis, and 69 years for right shoulder osteoarthritis. The mean length of stay was 3.15 days for bilateral knee osteoarthritis and 1.92 days for the right shoulder osteoarthritis. Total inpatient charges and in-hospital mortality were highest in right shoulder osteoarthritis (USD 52,699.40 [0.6%]; N = 6), and total charges were lowest in right and left hip osteoarthritis (44,689.54 and 44,427.33, respectively). A greater frequency of females and Caucasians was consistently admitted within each of the included ICD-10-CM OA sub-groupings. Age was correlated with charge in the left hip osteoarthritis (r = 0.050) and right shoulder osteoarthritis (r = 0.068), and was negatively correlated with charge in the bilateral knee osteoarthritis (r = -0.115), right knee osteoarthritis (r = -0.054), and left knee osteoarthritis (r = -0.060).ConclusionsIn Wisconsin, with somewhat of a generalizability to other Midwestern states, attention should be given to Caucasian, elderly, and female patients with osteoarthritis of the hip and knee. Further studies are needed to broaden the understanding of cost utilization, how charges and hospital stay compare nationwide, and where preventative efforts are needed.

Highlights

Osteoarthritis (OA) is considered the most common disorder of joints, affecting approximately 27 million Americans every year [1]
Total inpatient charges and in-hospital mortality were highest in right shoulder osteoarthritis (USD 52,699.40 [0.6%]; N = 6), and total charges were lowest in right and left hip osteoarthritis (44,689.54 and 44,427.33, respectively)
Age was correlated with charge in the left hip osteoarthritis (r = 0.050) and right shoulder osteoarthritis (r = 0.068), and was negatively correlated with charge in the bilateral knee osteoarthritis (r = 0.115), right knee osteoarthritis (r = -0.054), and left knee osteoarthritis (r = -0.060)

Summary

Introduction

Osteoarthritis (OA) is considered the most common disorder of joints, affecting approximately 27 million Americans every year [1]. OA is typically managed non-surgically, with treatments that include low-dose steroids, non-steroidal anti-inflammatory drugs, and, despite its consensus recommendation, hyaluronic acid, bone marrow stem cells, and platelet-rich plasma. If presenting symptoms are severe or if a radiographic disease is advanced, surgical management such as joint arthroplasty (replacement) is the treatment of choice. The incidence of OA in Americans is increasing along with the aging population, and, the volume of total joint arthroplasty in the United States is expected to sustain a near 71% and 85% increase in hip and knee replacements over the decade, respectively [3]

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