دورية أكاديمية
The Effect of Surgical Approach on the Outcomes of Same-Day Discharge Outpatient Total Hip Arthroplasty at a Single Ambulatory Surgery Center.
| العنوان: | The Effect of Surgical Approach on the Outcomes of Same-Day Discharge Outpatient Total Hip Arthroplasty at a Single Ambulatory Surgery Center. |
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| المؤلفون: | Dove JH; Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Laperche JM; Frank H. Netter School of Medicine, Quinnipiac University, North Haven, Connecticut; University Orthopedics Inc, East Providence, Rhode Island., Kutschke MJ; Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Painter DF; Warren Alpert Medical School of Brown University, Providence, Rhode Island., Antoci V Jr; Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island; University Orthopedics Inc, East Providence, Rhode Island; Warren Alpert Medical School of Brown University, Providence, Rhode Island., Cohen EM; Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island; University Orthopedics Inc, East Providence, Rhode Island; Warren Alpert Medical School of Brown University, Providence, Rhode Island. |
| المصدر: | The Journal of arthroplasty [J Arthroplasty] 2024 Feb; Vol. 39 (2), pp. 398-401. Date of Electronic Publication: 2023 Aug 17. |
| 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, Humans ; Patient Discharge ; Retrospective Studies ; Outpatients ; Ambulatory Surgical Procedures/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Patient Readmission ; Length of Stay |
| مستخلص: | Background: Primary total hip arthroplasty (THA) is increasingly being performed in the outpatient setting. However, there is little known regarding the differences in same-day discharge (SDD) rates and complications of operative approach in same-day total hip arthroplasty in the ambulatory surgery center (ASC) setting. Methods: A retrospective chart review was performed between July 2019 and October 2021 for all patients who underwent primary THA in a single freestanding ASC. Successful SDDs, surgical approaches, lengths of surgery, estimated blood losses (EBL), complications, and readmission events were recorded for each patient. Complications were compared using Pearson Chi-Squares, while EBL and surgery lengths were compared with 1-way analysis of variances (ANOVA) (alpha = 0.5). There were 17 total complications in 326 total hip arthroplasties (5.2%), including direct admissions to the emergency department, 30-day and 90-day readmissions, wound complications, instability, infection, and revision surgery. Among all complications, there were 5 direct admissions, making the successful SDD rate 98.5%. Results: Complications and direct admissions were not associated with approach. The 30-day readmission rates were associated with approach, with no readmissions in the direct anterior approach (DAA) or the antero-lateral approach (AL) cohorts and 3 (4.3%) in the posterior approach (PA) cohort. Conclusions: In the ASC setting, patients undergoing THA regardless of approach showed no difference in successful SDDs or complications aside from 30-day readmissions. Same-day THA can be safely performed in the DAA, AL, and PA to the hip. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: ambulatory surgery; complications; direct anterior approach; outpatient THA; same-day discharge |
| المشرفين على المادة: | 17615-73-5 (SDDS) |
| تواريخ الأحداث: | Date Created: 20230818 Date Completed: 20240108 Latest Revision: 20240108 |
| رمز التحديث: | 20240108 |
| DOI: | 10.1016/j.arth.2023.08.034 |
| PMID: | 37595765 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8406 |
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| DOI: | 10.1016/j.arth.2023.08.034 |