The Effect of Surgical Approach on the Outcomes of Same-Day Discharge Outpatient Total Hip Arthroplasty at a Single Ambulatory Surgery Center

Dove, James H.; Laperche, Jacob M.; Kutschke, Michael J.; Painter, David F.; Antoci, Valentin; Cohen, Eric M.

doi:10.1016/j.arth.2023.08.034

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…Numerous recent studies in the current literature, same-day discharge has been found to be superior to hospitalization in terms of readmission rates, revision surgeries, and functional outcomes [8,9,[12][13][14][15]. However, it is important to remember that same-day discharge patients are selected based on surgical preference, introducing potential bias.…”

Section: Discussionmentioning

confidence: 99%

“…Few previous studies have focused on predicting patient readmissions. Identifying patients who will be readmitted to the hospital on the same day as their discharge is crucial for effective patient selection and the development of home follow-up strategies and protocols [12][13][14][15][16][17][18]. Previous research has indicated that cardiovascular issues and certain systemic comorbidities serve as predictors of unplanned readmission following same-day discharge [16,17].…”

Section: Discussionmentioning

confidence: 99%

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A Comprehensive Report on Same-Day Discharge (SDD) Following Total Hip Arthroplasty (THA): A Multi-Center Database Analysis of 235,393 Patients and 25,388 Same-Day Discharges

Bulut,

Maestre,

Tomey

2024

Preprint

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Introduction:The concept of same-day discharge has garnered increasing significance within orthopedic surgery, particularly in hip and knee procedures. Despite initial concerns surrounding the absence of prolonged hospital care, a burgeoning body of evidence highlights numerous advantages associated with same-day discharge, ranging from mitigating in-hospital infections to offering substantial financial and psychosocial benefits for both patients and healthcare providers. In this study, we aim to scrutinize the trends in same-day discharge specifically within the realm of total hip arthroplasties. Method:This retrospective analysis delves into the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database spanning from 2016 to 2021. Result:In this study, same-day hip patients skewed younger, comprising 48.3%females compared to 55.6% in hospitalized hip patients. Operatively, same-day hip surgeries boasted shorter durations, averaging 83.9 minutes, in contrast to the 92.3minutes for hospitalized hip procedures. Postoperatively, same-day hip patients exhibited significantly diminished rates of 30-day readmissions (1.7%vs. 3.5%), procedure-related readmissions (1.0%vs.2.1%), reoperations (1.1%vs.1.9%), and mortality (0.02% vs. 0.04%). In addition, we found that that unplanned readmissions in the same-day group are significantly predicted by being over 65 years old (OR: 2.0), having hypertension (OR: 1.6), chronic steroid usage (OR: 2.2), and severe COPD (OR: 2.0), while gender, emergent surgery indication, and smoking were not significant predictors. Moreover, the prevalence of the same-day discharge concept experienced a remarkable ascent from 2016 to 2021, with rates escalating from 1.5% to 25.6% of all total hip arthroplasties over a span of just six years. Conclusion:In conclusion, same-day discharge is a feasible and safe option for selected THA patients, improving healthcare efficiency and patient satisfaction.

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