Feasibility of outpatient total hip and knee arthroplasty in unselected patients

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Background and purpose - The number of patients who are suitable for outpatient total hip and knee arthroplasty (THA and TKA) in an unselected patient population remains unknown. The purpose of this prospective 2-center study was to identify the number of patients suitable for outpatient THA and TKA in an unselected patient population, to investigate the proportion of patients who were discharged on the day of surgery (DOS), and to identify reasons for not being discharged on the DOS. Patients and methods - All consecutive, unselected patients who were referred to 2 participating centers and who were scheduled for primary THA and TKA were screened for eligibility for outpatient surgery with discharge to home on DOS. If patients did not fulfill the discharge criteria, the reasons preventing discharge were noted. Odds factors with relative risk intervals for not being discharged on DOS were identified while adjusting for age, sex, ASA score, BMI and distance to home. Results - Of the 557 patients who were referred to the participating surgeons during the study period, 54% were potentially eligible for outpatient surgery. Actual DOS discharge occurred in 13-15% of the 557 patients. Female sex and surgery late in the day increased the odds of not being discharged on the DOS. Interpretation - This study shows that even in unselected THA and TKA patients, same-day discharge is feasible in about 15% of patients. Future studies should evaluate safety aspects and economic benefits.

Original languageEnglish
JournalActa Orthopaedica (Print Edition)
Issue number5
Pages (from-to)516-521
Number of pages6
Publication statusPublished - Oct 2017

    Research areas

  • Aged, Ambulatory Surgical Procedures, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Feasibility Studies, Female, Humans, Length of Stay, Male, Patient Discharge, Prospective Studies, Journal Article, Multicenter Study

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