دورية أكاديمية
أعرض في EDS

Reasons for Unsuccessful Same-Day Discharge Following Outpatient Hip and Knee Arthroplasty: 5½ Years' Experience From a Single Institution.

التفاصيل البيبلوغرافية
العنوان: Reasons for Unsuccessful Same-Day Discharge Following Outpatient Hip and Knee Arthroplasty: 5½ Years' Experience From a Single Institution.
المؤلفون: Keulen MHF; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands., Asselberghs S; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands., Bemelmans YFL; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands., Hendrickx RPM; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands., Schotanus MGM; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands., Boonen B; Department of Orthopaedics, Zuyderland Medical Center Heerlen and Sittard-Geleen, Geleen, The Netherlands.
المصدر: The Journal of arthroplasty [J Arthroplasty] 2020 Sep; Vol. 35 (9), pp. 2327-2334.e1. Date of Electronic Publication: 2020 Apr 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE
أسماء مطبوعة: Publication: New Brunswick, NJ : Taylor and Francis
Original Publication: [New York, NY : Churchill Livingstone, c1986-
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip*/adverse effects , Arthroplasty, Replacement, Knee*/adverse effects, Humans ; Length of Stay ; Outpatients ; Patient Discharge ; Postoperative Complications ; Retrospective Studies
مستخلص: Background: Outpatient joint arthroplasty (OJA) is considered safe and feasible in selected patients but should be further optimized to improve success rates. The purposes of this study are to (1) identify the main reasons of unsuccessful same-day discharge (SDD) following hip and knee arthroplasty; (2) determine the hospital length of stay (LOS) following unsuccessful SDD; and (3) assess which independent variables are related to specific reasons for unsuccessful SDD.
Methods: Five hundred twenty-five patients undergoing total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty between 2013 and 2019 were retrospectively identified. SDD to home was planned in all patients. Specific reasons for unsuccessful SDD and LOS were assessed. Bivariate analysis was performed to find differences in independent variables between patients experiencing a specific reason for unsuccessful SDD and control patients.
Results: One hundred ten patients (21%) underwent unsuccessful SDD. The main reason was postoperative reduced motor function and sensory disturbances (33%). The mean LOS in the unsuccessful SDD group was 1.7 days (standard deviation ± 1.0 days). Postoperative transient reduced motor function and sensory disturbances occurred more often in patients undergoing TKA (P < .001).
Conclusion: An option for overnight stay should be available when performing outpatient hip and knee arthroplasty. The main reason for unsuccessful SDD in this study was transient postoperative reduced motor function and sensory disturbance, most likely due to intraoperative local infiltration analgesia in TKA. No other studies have found local infiltration analgesia to be an issue preventing SDD.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: arthroplasty; outpatient; same-day discharge; total hip arthroplasty; total knee arthroplasty; unicompartmental knee arthroplasty
تواريخ الأحداث: Date Created: 20200525 Date Completed: 20210323 Latest Revision: 20210323
رمز التحديث: 20221213
DOI: 10.1016/j.arth.2020.04.064
PMID: 32446626
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8406
DOI:10.1016/j.arth.2020.04.064