Overnight Admission After Total Ankle Replacement: Is It Safe?

Autor: Jantzen C; Senior Resident, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark. Electronic address: Christopherjantzen@gmail.com., Ebskov LB; Chief Physician and Foot and Ankle Surgeon, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark., Andersen KH; Chief Physician and Foot and Ankle Surgeon, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark., Benyahia M; Chief Physician and Foot and Ankle Surgeon, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark., Rasmussen PB; Chief Physician and Foot and Ankle Surgeon, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark., Johansen JK; Chief Physician and Foot and Ankle Surgeon, Department of Orthopedic Surgery, Foot and Ankle Division, Hvidovre University Hospital, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2021 Jan-Feb; Vol. 60 (1), pp. 89-92. Date of Electronic Publication: 2020 Oct 07.
DOI: 10.1053/j.jfas.2020.08.032
Abstrakt: To evaluate readmission, complication, and nonscheduled contact rates to the out-patient clinic within the first 3 months following total ankle replacement in patients planned for overnight admission. Data were collected retrospectively on all patients treated during the period the December 11, 2015 to the December 1, 2019 with 3 months of follow-up for all patients. In the study 116 patients were included. No difference in patient characteristics, readmission rates, complication rates or number of nonscheduled contacts to the outpatient clinic was found between patients discharged after 1 day when compared to those admitted >1 day. Around 58.6% was discharged as planned. The overall readmission and complication rates were 2.6% and 6.0% respectively, 20.7% had a nonscheduled contact to the out-patient clinic. No differences in prevalence of the different complications, reasons for readmission or reasons for contact to the out-patient clinic were found between overnight admission and inpatient admission. Total ankle placement with overnight admission is safe, but patient selection with a thorough plan for analgesics after discharge and optimal cast appliance is necessary.
(Copyright © 2020 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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