Surgical Quality Improvement

Total Knee Arthroplasty Outcomes

Total Knee Arthroplasty ACS NSQIP Outcomes

January 1, 2024 – December 31, 2024

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 486 participating sites.

Total Knee Arthroplasty (486 sites)NObservedExpected
30 Day Morbidity2142.80%3.96%
Ventilator > 48 Hours2140.47%0.03%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus2140.93%1.08%
Renal Failure2141.40%0.26%
Urinary Tract Infection (UTI)2140.47%0.66%
Surgical Site Infection (SSI)2140.00%1.43%
Sepsis2140.47%0.27%
C.diff Colitis2140.00%0.04%
Unplanned Reoperation2140.47%1.36%
Unplanned Readmission2143.27%4.35%

American College of Surgeons National Surgical Quality Improvement Program, 2025.
ACS NSQIP® Semiannual Report July, 2025, Chicago: American College of Surgeons.