Preoperative Patient Optimization: Outcomes from Elective Total Joint Arthroplasty in a Large US Healthcare System

Article Orthopedics

Frequency and Timing of Complications and Catastrophic Events After Same-Day Discharge Compared With Inpatient Total Hip Arthroplasty

Nithin C. Reddy et al.

Summary: The study found that same-day discharge total hip arthroplasty (THA) had a lower risk for emergency department visits, readmissions, and cardiac complications within 90 days compared to inpatient stay THA. However, there was no significant difference or an increase in risk for deep infections, VTE, and mortality.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics

Association Between Same-Day Discharge Total Joint Arthroplasty and Risk of 90-Day Adverse Events in Patients with ASA Classification of ≥3

Nithin C. Reddy et al.

Summary: The study compared the risk of 90-day adverse events in higher-risk patients undergoing same-day discharge versus inpatient total joint arthroplasty. The findings showed that same-day discharge total joint arthroplasty did not increase the risk of emergency department visits, unplanned readmissions, and complications compared with an inpatient stay for higher-risk patients. This suggests that expanding indications for same-day discharge total joint arthroplasty in the hospital setting while maintaining safety is feasible.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Article Orthopedics

Association Between Same-Day Discharge Total Joint Arthroplasty and Risk of 90-Day Adverse Events in Patients with ASA Classification of ≥3

Nithin C. Reddy et al.

Summary: The study shows that in higher-risk patients, same-day discharge total hip and knee arthroplasty does not increase the risk of emergency department visits, unplanned readmissions, and complications compared to an inpatient stay.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Article Orthopedics