Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway.
Ann R Coll Surg Engl
; 104(3): 165-173, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-1331976
ABSTRACT
INTRODUCTION:
We have seen unparalleled changes in our healthcare systems globally as a result of the COVID-19 pandemic. As we strive to regenerate our full capacity elective services in order to contest the increasing demand for lower limb arthroplasty, this pandemic has allowed us a rare opportunity to revise and develop novel elective arthroplasty pathways intended to improve patient care and advance healthcare efficiency. We present an extensive evidence-based review of the approaches used to achieve day-case unicompartmental arthroplasty (UKA) as well as the development of a day-case UKA care pathway in a UK NHS institution based on the evidence provided in the literature.METHODS:
An extensive search of the literature was performed for articles that reported on readmission or complication rates ≥30 days postoperatively following day-case UKA.FINDINGS:
Fifteen manuscripts reporting the results of day-case UKA, defined as discharged on the same calendar day of surgery, were included in our review. Mean reported complication rates for day-case and inpatient UKA within the follow-up periods were 4.05% and 6.52%, respectively. Mean readmission rates were 2.71% and 4.36% for day-case and inpatient UKA, respectively. The mean rate of successful same-day discharge was 92.45%.CONCLUSION:
We introduce our institutional Elective Day Surgery Arthroplasty Pathway (EDSAP) founded upon the evidence presented in the literature. Stringent patient selection complimented by a well-defined day-case arthroplasty pathway is fundamental for successful commencement of day-case UKA in the NHS.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Arthroplasty, Replacement, Knee
/
Ambulatory Surgical Procedures
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Reviews
Limits:
Aged
/
Humans
/
Middle aged
Language:
English
Journal:
Ann R Coll Surg Engl
Year:
2022
Document Type:
Article
Affiliation country:
Rcsann.2021.0090
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