Eric V Neufeld, Shawn J Geffken, Lucas E Bartlett, Brandon J Klein, Shebin Tharakan, Randy M Cohn
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Clinical environments were compared by using chi-squared tests with adjusted residuals (ARs), Welch's <i>t</i>-tests, and binary logistic regression.</p><p><strong>Results: </strong>Eight hundred eighty-one cases were performed in HOR while 23 cases were conducted at ASC. Patients with at least one medical comorbidity (91.4% vs. 65.2%, AR=4.3) or who required 3 or more suture anchors (31.7% vs. 4.3%, AR=2.8) were more likely to undergo surgery in HOR. Femoroplasty (87.0% vs. 57.8%, AR=-2.8) and capsular repair (69.6% vs. 47.6%, AR=-2.1) had increased likelihood of being performed at ASC. There were no differences found in returns to the operating room or readmissions. Postoperative emergency department (ED) visits were more common in patients treated at HORs (3.0% vs. 0.0%, AR=-2.7).</p><p><strong>Conclusion: </strong>ASCs and HORs both provided safe operating environments. ED visits were higher in patients treated at HORs during the 90-day postoperative period, often due to their comorbidities rather than as a direct sequela from surgery.</p>","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"37 2","pages":"156-163"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120480/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Comparative Study between Hip Arthroscopy Procedures Performed in Hospitals and Ambulatory Surgical Centers.\",\"authors\":\"Eric V Neufeld, Shawn J Geffken, Lucas E Bartlett, Brandon J Klein, Shebin Tharakan, Randy M Cohn\",\"doi\":\"10.5371/hp.2025.37.2.156\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Hip arthroscopy is commonly performed on an outpatient basis; however, many are still performed in hospital operating rooms (HOR) over ambulatory surgery centers (ASC). Therefore, this study aimed to compare patient demographics and complications between hip arthroscopies performed in HOR and ASC.</p><p><strong>Materials and methods: </strong>This was a retrospective cohort study (level III evidence) of 832 patients who underwent hip arthroscopy between 2014-2022 at a multi-hospital academic health system. Nine hundred four hip arthroscopies were performed, 72 of which were staged bilateral. Demographics, procedure details, and complications were recorded from the electronic medical record. Clinical environments were compared by using chi-squared tests with adjusted residuals (ARs), Welch's <i>t</i>-tests, and binary logistic regression.</p><p><strong>Results: </strong>Eight hundred eighty-one cases were performed in HOR while 23 cases were conducted at ASC. Patients with at least one medical comorbidity (91.4% vs. 65.2%, AR=4.3) or who required 3 or more suture anchors (31.7% vs. 4.3%, AR=2.8) were more likely to undergo surgery in HOR. Femoroplasty (87.0% vs. 57.8%, AR=-2.8) and capsular repair (69.6% vs. 47.6%, AR=-2.1) had increased likelihood of being performed at ASC. There were no differences found in returns to the operating room or readmissions. Postoperative emergency department (ED) visits were more common in patients treated at HORs (3.0% vs. 0.0%, AR=-2.7).</p><p><strong>Conclusion: </strong>ASCs and HORs both provided safe operating environments. 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引用次数: 0
摘要
目的:髋关节镜检查通常在门诊进行;然而,许多手术仍然在医院手术室(HOR)而不是流动手术中心(ASC)进行。因此,本研究旨在比较在HOR和ASC中进行髋关节镜手术的患者人口统计学和并发症。材料和方法:这是一项回顾性队列研究(III级证据),纳入了2014-2022年间在多医院学术卫生系统中接受髋关节镜检查的832例患者。共进行了994例髋关节镜检查,其中72例为双侧髋关节镜检查。从电子病历中记录人口统计、手术细节和并发症。临床环境的比较采用校正残差卡方检验、Welch’st检验和二元逻辑回归。结果:HOR行881例,ASC行23例。至少有一种医学合并症(91.4% vs. 65.2%, AR=4.3)或需要3个或更多缝合锚钉(31.7% vs. 4.3%, AR=2.8)的患者更有可能在HOR中接受手术。股骨成形术(87.0%对57.8%,AR=-2.8)和囊膜修复(69.6%对47.6%,AR=-2.1)在ASC进行的可能性增加。在返回手术室或再入院方面没有发现差异。在HORs治疗的患者中,术后急诊科(ED)就诊更为常见(3.0% vs 0.0%, AR=-2.7)。结论:ASCs和HORs都提供了安全的操作环境。术后90天在HORs接受治疗的患者ED就诊率较高,这通常是由于他们的合并症,而不是手术的直接后遗症。
A Comparative Study between Hip Arthroscopy Procedures Performed in Hospitals and Ambulatory Surgical Centers.
Purpose: Hip arthroscopy is commonly performed on an outpatient basis; however, many are still performed in hospital operating rooms (HOR) over ambulatory surgery centers (ASC). Therefore, this study aimed to compare patient demographics and complications between hip arthroscopies performed in HOR and ASC.
Materials and methods: This was a retrospective cohort study (level III evidence) of 832 patients who underwent hip arthroscopy between 2014-2022 at a multi-hospital academic health system. Nine hundred four hip arthroscopies were performed, 72 of which were staged bilateral. Demographics, procedure details, and complications were recorded from the electronic medical record. Clinical environments were compared by using chi-squared tests with adjusted residuals (ARs), Welch's t-tests, and binary logistic regression.
Results: Eight hundred eighty-one cases were performed in HOR while 23 cases were conducted at ASC. Patients with at least one medical comorbidity (91.4% vs. 65.2%, AR=4.3) or who required 3 or more suture anchors (31.7% vs. 4.3%, AR=2.8) were more likely to undergo surgery in HOR. Femoroplasty (87.0% vs. 57.8%, AR=-2.8) and capsular repair (69.6% vs. 47.6%, AR=-2.1) had increased likelihood of being performed at ASC. There were no differences found in returns to the operating room or readmissions. Postoperative emergency department (ED) visits were more common in patients treated at HORs (3.0% vs. 0.0%, AR=-2.7).
Conclusion: ASCs and HORs both provided safe operating environments. ED visits were higher in patients treated at HORs during the 90-day postoperative period, often due to their comorbidities rather than as a direct sequela from surgery.