Thirty-Day Acute Health Care Resource Utilization Following Outpatient Anterior Cruciate Ligament Surgery

Abstract

The rate of hospital-based acute care following outpatient ACL surgery was 3.90%. Many of the events were expected complications related to surgery, such as infection and deep venous thrombosis. However, musculoskeletal pain, drug abuse, and psychotic events featured more prominently than expected. Our findings may direct efforts to address these reasons for seeking acute care after ACL surgery, reduce cost, and improve quality of care.

Minimum volume standards in day surgery: a systematic review

“…Data from eight retrospective studies (and seven indications) were used in the analysis of clinical effectiveness and safety. Two studies were found on the intervention of anterior cruciate ligament (ACL) reconstruction [ 22 , 23 ], two on cataract surgery [ 24 , 25 ], and one for each of the following interventions: meniscectomy, thyroidectomy, primary hip arthroscopy, open carpal tunnel release, and rotator cuff repair [ 21 , 26 – 28 ].…”

“…While two studies were single center analyses [ 21 , 25 ], six studies were analyses of health care databases [ 22 – 24 , 26 – 28 ]. Seven studies were conducted in the US [ 21 – 26 , 28 ] and the eighth study was conducted in the Netherlands [ 27 ].…”

“…Information about study sponsors was not disclosed in five studies [ 21 – 23 , 25 , 26 ], two studies were funded by the National Institutes of Health/National Institute for Arthritis and Musculoskeletal and Skin Diseases [ 27 , 28 ], and one study was funded by the National Eye Institute [ 24 ]. Two studies did not report on conflict of interests (COI) [ 23 , 26 ], four studies reported that none of the authors had COI [ 22 , 24 , 25 , 27 ], and two studies reported COI of one of their authors [ 21 , 28 ]. The dates of data collection in all the studies were between 1997 and 2015.…”

“…All the studies gathered data on the outpatient setting and while four studies analyzed the VOR from the perspective of surgeons [ 24 , 25 , 27 , 28 ], one analyzed it from the hospital perspective [ 22 ], and three from the perspectives of both surgeons as well as hospitals [ 21 , 23 , 26 ]. Follow-up time was not reported in five studies [ 21 , 23 – 26 ], it was 10 years in [ 28 ], 6 months in [ 27 ], and 30 days in [ 22 ].…”

“…The analysis of carpal tunnel release included 1345 patients/procedures (712 patients not followed-up) performed by 17 surgeons in 11 centers [ 27 ]. The analysis of rotator cuff repair included 9973 patients (961 not followed-up) [ 26 ], ACL reconstruction included 45,262 patients (14,050 not followed-up) [ 22 , 23 ], and the analysis of meniscectomy included 123,012 patients (72,585 not followed-up) [ 23 ]. The number of procedures, surgeons, or surgical centers was not reported in the three studies above.…”