'Outpatient'—Same-calendar-day Discharge Hip and Knee Arthroplasty
| Autor: | Ryan D Scully, J. Stuart Melvin, Jason E Kappa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Arthroplasty Replacement Hip medicine.medical_treatment MEDLINE 03 medical and health sciences Patient safety Social support 0302 clinical medicine Patient satisfaction Patient Education as Topic Cost Savings Risk Factors Ambulatory Care Humans Pain Management Medicine Orthopedics and Sports Medicine Arthroplasty Replacement Knee Aged Aged 80 and over 030222 orthopedics Surgical team Rehabilitation business.industry Patient Selection 030229 sport sciences Length of Stay Middle Aged Arthroplasty Patient Discharge Ambulatory Surgical Procedures Physical therapy Feasibility Studies Female Surgery Patient Safety Analgesia business Patient education |
| Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. 28:e900-e909 |
| ISSN: | 1940-5480 1067-151X |
| Popis: | As the length of stay for hip and knee arthroplasty has decreased over the years, "outpatient," or same-calendar-day discharge has become increasingly common. Outpatient arthroplasty offers several possible benefits over traditional inpatient arthroplasty, including potential for cost reductions, faster rehabilitation, improved patient satisfaction, and reduced reliance on hospital resources. Despite these possible benefits, concerns remain over feasibility and patient safety. To date, multiple studies have demonstrated that, for select patients, "outpatient" hip and knee arthroplasty can be safe and effective and yield complication and readmission rates similar to inpatient procedures at potentially significant cost savings. Successful outpatient pathways have emphasized careful patient selection, detailed patient education, enlistment of strong social support, utilization of multimodal analgesia and strong "episode ownership," and involvement on behalf of the surgical team. As outpatient hip and knee arthroplasty becomes increasingly common, continued investigation into all aspects of the surgical episode is warranted. |
| Databáze: | OpenAIRE |
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