Post-Operative Remote Monitoring for Same-Day Discharge Elective Orthopedic Surgery: A Pilot Study

Mouli, Vibav H.; Carrera, Christopher X.; Schudrowitz, Natalie; Jay, Jean F; Shah, Vivek M.; Fitz, Wolfgang

doi:10.3390/s21175754

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…( 9) An adequate control group: having a gold standard diagnostic test or therapeutic intervention recognized as the optimal intervention according to the available published data. (10) [31] 2020 Knee IV 2 2 1 2 0 2 2 ----11 Barrie et al [1] 2021 Knee IV 2 2 2 2 0 2 2 0 ----12 Keulen et al [22] 2021 J Arthroplasty III 2 2 1 2 0 2 2 2 2 2 2 19 Lan et al [25] 2021 J Bone Joint Surg III 2 2 1 2 0 2 2 2 2 2 2 19 Lovasz et al [27] 2021 J Orthop Surg Rel IV 2 1 1 2 0 2 2 ----10 Mouli et al [30] 2021 Sensors IV 2 1 2 2 0 2 2 ----11 Patel et al [35] 2021 Knee IV 2 2 1 2 1 2 2 ----14 Saunders et al [40] 2021 BJO III 2 1 2 2 0 2 2 2 2 1 2 18 Tveit [42] 2021 Plos One IV 2 2 2 2 0 2 2 ----14 Yang et al [46] 2021 Bone Jt J III 2 1 1 2 0 2 2 2 1 2 2 17 Gao et al [14] 2022 Musculoskeletal Care III 2 2 2 2 0 2 2 2 2 2 2 21…”

Section: Search Resultsmentioning

confidence: 99%

Successful same-day discharge in 88% of patients after unicompartmental knee arthroplasty: a systematic review and meta-analysis

Bayoumi

List

Ruderman

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this study was to evaluate the effectiveness of day-case unicompartmental knee arthroplasty (UKA) by assessment of successful same-day discharge (SDD), readmission, complication and reoperation rates in the recent literature. Methods For this systematic review and meta-analysis, PubMed, Embase and Cochrane Library were comprehensively searched to identify all eligible studies reporting outcomes of day-case UKA. Studies with intended same-day home discharge after UKA were included. A meta-analysis of proportions, using a random-effects model, was performed to estimate overall rates of successful SDD and adverse events. Subgroup analyses were performed for studies including selected patients (i.e., patients had to meet certain patient-specific criteria to be eligible for day-case UKA) and unselected patients (i.e., no additional criteria for day-case UKA), as well as for clinical and registry-based studies. Additional outcomes included reasons for the failure of SDD and patient satisfaction. Results A total of 29 studies and 9694 patients were included with a mean age of 66 ± 9 years and mean follow-up of 59 days (mean range 30–270 days). Based on 24 studies (2733 patients), the overall successful SDD rate was 88% (95% confidence interval [CI] 80–92). These rates were 91% (95% CI 84–95) across studies with selected patients and 76% (95% CI 55–89) across studies with unselected patients. Overall readmission, complication and reoperation rates were 3% (95% CI 1.9–4.4), 4% (95% CI 2.8–5.2) and 1% (95% CI 0.8–1.3), respectively. Inability to mobilize, nausea and uncontrolled pain were frequently reported reasons for failed SDD. The overall patient satisfaction rate was 94%. Conclusion This systematic review with meta-analysis found an overall successful SDD rate of 88% after UKA in a heterogeneous cohort of selected and unselected patients. Readmission, complication and reoperation rates suggest UKA can be performed safely and effectively as a same-day discharge procedure. Level of evidence Level IV, systematic review of level III and IV studies. Supplementary Information The online version contains supplementary material available at 10.1007/s00167-022-07094-0.

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Section: Search Resultsmentioning

confidence: 99%

Successful same-day discharge in 88% of patients after unicompartmental knee arthroplasty: a systematic review and meta-analysis

Bayoumi

List

Ruderman

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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“…One example of this is through the use of wireless blood pressure and heart rate monitoring with standardized hydration protocols and delayed ambulation in the case of abnormal measurements. 60 All 17 patients in this pilot study were able to operate the wireless monitors, and notably there was a very high level of patient satisfaction, and a feeling that this monitoring demonstrated an improvement in care provision.…”

Section: Wearable and Smart Sensorsmentioning

confidence: 83%

Follow-up after arthroplasty surgery

Hansjee

Giebaly

Shaarani

et al. 2022

The Bone & Joint Journal

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We aim to explore the potential technologies for monitoring and assessment of patients undergoing arthroplasty by examining selected literature focusing on the technology currently available and reflecting on possible future development and application. The reviewed literature indicates a large variety of different hardware and software, widely available and used in a limited manner, to assess patients’ performance. There are extensive opportunities to enhance and integrate the systems which are already in existence to develop patient-specific pathways for rehabilitation. Cite this article: Bone Joint J 2022;104-B(10):1104–1109.

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“…Recently, more and more other studies discussed the implications of telemedicine in orthopedics from various aspects. [ 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 ].…”

Section: Discussionmentioning

confidence: 99%

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

Hsu

Huang

et al. 2022

JCM

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This study aimed to systematically review the literature on the impact of the coronavirus disease (COVID-19) pandemic on the orthopedics field by focusing on multiple aspects, including orthopedic training and application, performance, work loading, change of practice, research work, and other psychological factors. Published articles were searched using the PubMed database. Articles were selected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of 58 studies published between 1 January 2020 and 1 October 2021, 57 peer-reviewed original articles were included. Nearly 90% of students experienced an impact of the pandemic on application. The impact on training stemmed from redeployment rates of 20.9–23.1%. The rate of emergency or outpatient visits decreased from 18% to 58.6%. The rates of all surgeries or emergency surgeries decreased by 15.6–49.4%, while the rates of elective surgeries decreased by 43.5–100%. The rate of work loading ranged from 33% to 66%. Approximately 50–100% of surgeons had a change of practice. A total of 40.5% of orthopedic surgeons experienced mild psychological pressure. Approximately 64% had stopped research participant recruitment. Most of the included studies were conducted in Europe, followed by Asia and North America. It is suggested orthopedic surgeons prepare more sufficient, flexible, and reservable staffing measures, proper preventive strategies and surgical scheduling algorithms, and set up dedicated venues and equipment for routine telemedicine with staff training for virtual teaching or consultations in case of future impacts on orthopedics.

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Post-Operative Remote Monitoring for Same-Day Discharge Elective Orthopedic Surgery: A Pilot Study

Cited by 5 publications

References 25 publications

Successful same-day discharge in 88% of patients after unicompartmental knee arthroplasty: a systematic review and meta-analysis

Successful same-day discharge in 88% of patients after unicompartmental knee arthroplasty: a systematic review and meta-analysis

Follow-up after arthroplasty surgery

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

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