The combined effect of policy changes and the covid-19 pandemic on the same day discharge and complications following total hip arthroplasty: a nationwide analysis

Autor: Adam M. Gordon, Matthew L. Magruder, Mitchell K. Ng, Bhavya K. Sheth, Charles A. Conway, Che Hang Jason Wong
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Arthroplasty, Vol 4, Iss 1, Pp 1-11 (2022)
Druh dokumentu: article
ISSN: 2524-7948
DOI: 10.1186/s42836-022-00131-w
Popis: Abstract Introduction As a result of the SARS-CoV-2 (COVID-19) pandemic in 2020, elective surgeries, including total joint arthroplasty (TJA), were suspended nationwide. Concurrent removal of total hip arthroplasty (THA) from the Medicare inpatient-only list posed challenges to the delivery of quality patient care with low payor cost. Therefore, the objective of this study was to compare temporal trends in patient demographics, case volumes, length of stay, and complications following elective THA in the years 2019 to 2020 in the United States. Methods The 2019 to 2020 ACS-NSQIP database was queried for elective THA patients. Patients Pre-COVID (2019 and 2020Q1) were compared with post-COVID (2020Q2-Q4). THA utilization, demographics, 30-day complications, and length of stay (LOS) were compared between years. Linear regression evaluated changes in case volumes over time with significance threshold of P
Databáze: Directory of Open Access Journals