2017
DOI: 10.1016/j.arth.2017.03.004
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Safe Selection of Outpatient Joint Arthroplasty Patients With Medical Risk Stratification: the “Outpatient Arthroplasty Risk Assessment Score”

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Cited by 213 publications
(120 citation statements)
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“…However, inclusion of patients treated as outpatients may have actually increased our observed differences between cohorts as these are generally healthy patients with low-risk profiles. Generally, opioid use disorder would be considered a contraindication to outpatient arthroplasty [36] and it, therefore, is likely that the vast majority of these patients have been captured in this investigation. Additionally, using the NRD, only inpatient complications are captured unless the complication leads to readmission and even readmissions are tracked only to 90 days.…”
Section: Discussionmentioning
confidence: 99%
“…However, inclusion of patients treated as outpatients may have actually increased our observed differences between cohorts as these are generally healthy patients with low-risk profiles. Generally, opioid use disorder would be considered a contraindication to outpatient arthroplasty [36] and it, therefore, is likely that the vast majority of these patients have been captured in this investigation. Additionally, using the NRD, only inpatient complications are captured unless the complication leads to readmission and even readmissions are tracked only to 90 days.…”
Section: Discussionmentioning
confidence: 99%
“…Several concerns arise when considering SDD THA, particularly as these procedures move toward ambulatory surgery centers where extended overnight postoperative care may not be available. In spite of patient screening, not all patients enrolled in an SDD program will be ready for discharge on the same day as their operation [15]. In our study, all SDD THAs were performed in an inpatient orthopedic hospital, and FTL patients were able to convert seamlessly to an overnight stay in their assigned inpatient room.…”
Section: Discussionmentioning
confidence: 99%
“…Over the past decade, there has been increasing interest in performing primary hip and knee replacement in the outpatient setting [1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], and rapid recovery protocols have created a natural evolution from the inpatient to outpatient setting [2], [3], [6], [10], [21], [22], [23]. The interest in outpatient arthroplasty also has been fueled by financial considerations including the ability to control costs within the episode of care, the potential for surgeon ownership in ambulatory surgery centers, and the ability of a surgeon to control his or her operating room and surgical care environment more easily in an ambulatory surgery center [1], [5], [8], [24].…”
Section: Forewordmentioning
confidence: 99%