Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?

Abstract

Gromov (2020): Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?, Acta Orthopaedica,

Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients

“…Our findings were also in accordance with Husted et al (2021), who found a median OKS 3 months postoperatively of 32 and 31 in the group discharged on day of surgery and not discharged on day of surgery, respectively. We found in our analysis of fast-track TKA patients a median OKS at 3 months of 35 .…”

“…Several studies on early function, pain, and quality of life outcomes after TKA have been published (Andersen et al 2009, Larsen et al 2012, Jakobsen et al 2014, Castorina et al 2017, Schotanus et al 2017, Husted et al 2021. Moreover, Canfield et al (2020) concluded that most improvement in function and pain is gained during the first 6 months postoperatively.…”

No increase in postoperative contacts with the healthcare system following outpatient total hip and knee arthroplasty

“…The cohort of patients included in this study is the same as in a previously published study (Husted et al 2021). That study investigated whether patient-reported outcomes were affected by DDOS after THA and TKA.…”

“…That study investigated whether patient-reported outcomes were affected by DDOS after THA and TKA. Patients with an ASA score of 1-2 without sleep apnea requiring treatment, undergoing primary unilateral THA or TKA as 1st or 2nd in the surgical theater between January 2016 and June 2017 were scheduled for same-day discharge as previously described (Gromov et al 2017, Husted et al 2021.…”

“…The epitome of fast-track surgery is outpatient surgery, where patients are discharged from the hospital on the day of surgery (DOS) to their own homes. This has proven to be beneficial in several ways for selected patients, as these patients spend less time in the hospital while still having similar outcomes when compared with patients not discharged on the DOS with regard to both patient-reported outcome measurements (Husted et al 2021) and safety (Goyal et al 2017, Vehmeijer et al 2018, Gromov et al 2019. Finally, outpatient THA and TKA come with additional financial benefits (Lovald et al 2014, Gibon et al 2020.…”