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Arthroplasty care redesign impacts the predictive accuracy of the risk assessment and predictor tool

Journal of Arthroplasty Jun 28, 2019

Dibra F, et al. - Via a retrospectively collected data of 1,024 patients who underwent elective primary total joint arthroplasty from January 2016 to April 2017, the researchers intended to demonstrate the impacts of arthroplasty care redesign on the predictive accuracy of the risk assessment and predictor tool (RAPT). Eighty-eight percent was the overall RAPT predictive accuracy. With a RAPT score of 1 to 3, intermediate risk 4 to 7, and low risk 8 to 12, patients were observed to be at high risk for an acute care facility. A strong correlation of RAPT score and patient-reported discharge expectation with actual discharge disposition was recognized. Hence, the predictive accuracy of RAPT was affected through this multidisciplinary redesign. To reflect the growing proportion of patients being discharged home following elective arthroplasty procedures, the original predictive ranges should be altered. Therefore, it was concluded that the patient suspected discharge destination as a robust modulator of the RAPT score and recommended that it should be taken into account for discharge planning.
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