Surgical Quality Improvement

Total Knee Arthroplasty Outcomes

Total Knee Arthroplasty ACS NSQIP Outcomes

January 1, 2023 – December 31, 2023

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall total knee arthroplasty ACS NSQIP performance benchmarked against 472 participating sites.

Total Knee Arthroplasty (472 sites)NObservedExpected
30 Day Morbidity3102.90%4.25%
Cardiac3100.65%0.27%
Unplanned Intubation3100.00%0.13%
Ventilator > 48 Hours3100.00%0.04%
Deep Vein Thrombosis (DVT) / Pulmonary Embolusᵃ3102.58%0.91%
Renal Failure3100.65%0.19%
Urinary Tract Infection (UTI)3100.00%0.70%
Surgical Site Infection (SSI)3101.29%1.79%
Sepsis3100.00%0.41%
Unplanned Reoperation3100.65%1.32%
Unplanned Readmission3105.16%4.39%

American College of Surgeons National Surgical Quality Improvement Program, 2024.
ACS NSQIP® Semiannual Report July 8, 2024, Chicago: American College of Surgeons.

ᵃIdentified as a statistical outlier (higher than expected) by the ACS NSQIP hierarchical model.