A Role for Outpatient Total Joint Arthroplasty During the COVID-19 Pandemic
| العنوان: | A Role for Outpatient Total Joint Arthroplasty During the COVID-19 Pandemic |
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| المؤلفون: | Adam J. Santoro, Zachary D. Post, Hope S. Thalody, Miranda M. Czymek, Alvin C. Ong, Danielle Y. Ponzio |
| المصدر: | Orthopedics. :1-7 |
| بيانات النشر: | SLACK, Inc., 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Orthopedics and Sports Medicine, Surgery |
| الوصف: | Outpatient total joint arthroplasty (TJA) gained favor during the COVID-19 pandemic. Our objective was to critically evaluate the safety and short-term outcomes of outpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA) throughout the pandemic compared with pre-pandemic given their increased use. This was a retrospective review of 941 patients who underwent elective, outpatient TKA and THA at a single institution. Patients were divided into two cohorts: pre-pandemic (N=611) and pandemic (N=330). Data points included demographics, comorbidities, failure of same calendar day discharge (SCDD), and 90-day readmissions and re-operations. The pandemic cohort was older (61.0 vs 59.0 years; P =.001) and had a higher Charlson Comorbidity Index (2 vs 1; P =.004). There were no differences between the pandemic and pre-pandemic cohorts regarding SCDD failures (23.3% vs 21.9%; P =.623) and reoperations (4.2% vs 6.2%; P =.205). The pandemic cohort had a lower readmission rate (4.8% vs 8.2%; P =.056). Overall, patients who had failure of SCDD more commonly underwent TKA than THA (63.5% vs 36.5%; P P 2 ; P =.006) and Charlson Comorbidity Index (2 vs 1; P P P P =.025), chronic kidney disease ( P =.004), or diabetes ( P =.003). This study supports broadening indications for outpatient TJA because we found a shift toward older patients with more comorbidities successfully undergoing the procedure. [ Orthopedics . 202x;4x(x):xx–xx.] |
| تدمد: | 1938-2367 0147-7447 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::f47dc621afa8eed60a5249f1e615d724 https://doi.org/10.3928/01477447-20230310-06 |
| رقم الأكسشن: | edsair.doi...........f47dc621afa8eed60a5249f1e615d724 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19382367 01477447 |
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