Comparing patient outcomes following outpatient total joint arthroplasty in a hospital setting versus an ambulatory surgery center

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2024-12-20 DOI:10.1016/j.jor.2024.12.004

Kyle M. Altman, Sara Workman, Matthew R. Price

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引用次数: 0

Abstract

Background

Traditionally, total joint arthroplasty has been performed as an inpatient procedure, sometimes requiring a hospital stay of a few days. However, outpatient total joints have gained popularity in recent years. The purpose of this study is to compare patient outcomes following an outpatient total knee arthroplasty (TKA) or a total hip arthroplasty (THA) in a hospital setting versus an ambulatory surgical center.

Method

This study was a prospective study of patients receiving either a TKA or THA, with results up to one year. All cases were performed by one board certified orthopedic surgeon. Each of the patients routinely completed patient reported outcome measures at the preoperative and postoperative visits for up to one year postoperatively.

Results

At three-month follow-up, there were no observed differences in the PROMIS, KOOS Jr, HOOS Jr, Oxford Hip, Oxford Knee, or mHHS scores between the cohorts. At one-year follow-up, there were no statistical differences in any PROMs between the ASC and hospital cohorts. In addition, subgroup analysis was performed comparing PROMs between patient's based on specific subgroups: diabetics, BMI >30, BMI<30, gender, and age, which showed non-statitistical differences at one year.

Conclusion

We believe that this study confirms that same day discharge, outpatient total joint procedures can be performed safely and effectively from either the hospital or ASC setting. While there were some differences in perceived outcomes at 3-months for some subgroups, these were not statistically significant at the 1-year after follow-up.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.