The Financial Impact of a Multidisciplinary Preoperative Risk Stratification Program for Joint Arthroplasty Article

Full Text via DOI: 10.1016/j.arth.2015.04.014 PMID: 25935235 Web of Science: 000363948900002

Cited authors

  • Duplantier, Neil; Briski, David; Ochsner, John Lockwood; Meyer, Mark; Stanga, Daryl; Chimento, George F.


  • This study's purpose was to assess the impact of a preoperative risk stratification program on joint arthroplasty outcomes at a single institution. We hypothesized that by using a standardized preoperative risk stratification center we would see better outcomes and decreased costs. The triage cohort (T) included 1498 patients assessed at a standardized risk stratification center, and the non-triage cohort (NT) included 1100 patients who did not utilize the center. The T cohort had significantly higher ASA classification (P<0.0001) and ACCI scores (P=0.028). We found no significant difference in complication rates. The T cohort showed a significant decrease in LOS (P<0.0001) and an increase in average reimbursement (P=0.009). A standardized preoperative risk stratification center can contribute to decreased LOS, increased reimbursement and help prevent complications. (C) 2015 Elsevier Inc. All rights reserved.

Publication date

  • 2015

Published in


International Standard Serial Number (ISSN)

  • 0883-5403

Start page

  • 1485

End page

  • 1491


  • 30


  • 9