Efficacy and Safety of a Patient Selection Tool for Predicted Discharge at an Ambulatory Surgical Center: A Pilot Study.
Arthroplast Today
; 29: 101421, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-39228910
ABSTRACT
Background:
There is a paucity of validated risk stratification tools to assess which patients can safely and predictably undergo outpatient total hip (THA) or knee arthroplasty (TKA) in an ambulatory surgery center (ASC).Methods:
Our novel patient selection tool was prospectively applied to 190 consecutive primary THA and TKA performed by a single surgeon at a single ASC. We identified the proportion of patients discharged home the same day, those requiring a one-night stay, or those with failed discharge within 23 hours. A retrospective chart review was performed to determine if any demographic parameters were risk factors for an overnight stay.Results:
Overall, 190 (100%) patients selected for outpatient THA and TKA were discharged home within 23 hours. One hundred and four patients (55%) were discharged the same day of surgery, whereas 86 (45%) required overnight stay and were discharged on postoperative day 1. Female sex (odds ratio [OR] 4.1, 95% confidence interval [CI] 2.0-8.2, P < .001), THA (OR 2.5, 95% CI 1.1-5.5, P = .022), and heavier body mass index (OR 1.0, 95% CI 1.0-1.2, P = .022) were identified as independent risk factors for staying overnight in the ASC.Conclusions:
In this pilot study, we found that 100% of outpatient THA and TKA-eligible patients were able to be discharged home by postoperative day 1. Additionally, we found that this selection tool is safe and effective at predicting short-stay discharge in an ASC.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Arthroplast Today
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
United States