Impact of Outpatient Total Joint Replacement on Postoperative Outcomes

Danielle Lovett-Carter; Zain Sayeed; Leila Abaab; Vinay Pallekonda; William Mihalko; Khaled J Saleh

doi:10.1016/j.ocl.2017.08.006

Impact of Outpatient Total Joint Replacement on Postoperative Outcomes

Orthop Clin North Am. 2018 Jan;49(1):35-44. doi: 10.1016/j.ocl.2017.08.006. Epub 2017 Oct 26.

Authors

Danielle Lovett-Carter¹, Zain Sayeed¹, Leila Abaab², Vinay Pallekonda³, William Mihalko⁴, Khaled J Saleh⁵

Affiliations

¹ Department of Orthopaedics, Detroit Medical Center, 4201 St Antoine Street, Detroit, MI 48201, USA.
² Department of Orthopaedics, Detroit Medical Center, 4201 St Antoine Street, Detroit, MI 48201, USA; Department of Anesthesiology - NorthStar Anesthesia, Detroit Medical Center, 4201 St Antoine Street, Detroit, MI 48201, USA.
³ Department of Anesthesiology - NorthStar Anesthesia, Detroit Medical Center, 4201 St Antoine Street, Detroit, MI 48201, USA.
⁴ Campbell Clinic Department of Orthopaedic Surgery & Biomedical Engineering University of Tennessee, 956 Court Avenue, Memphis, TN 32116, USA.
⁵ Department of Orthopaedics, Detroit Medical Center, 4201 St Antoine Street, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.

PMID: 29145982
DOI: 10.1016/j.ocl.2017.08.006

Abstract

Total joint arthroplasty (TJA) has demonstrated tremendous benefits to patients with osteoarthritis. Health care reform has influenced surgeons to optimize TJA care pathways as well as playing a role in the formation of outpatient TJA protocols. Understanding the outcomes of outpatient TJA is imperative to surgical predicate decision making. The aim of this review is to compare outcomes of outpatient TJA patients to standard-stay inpatients. Postoperative outcomes assessed include pain, complications, readmissions, reoperation, patient satisfaction, and cost.

Keywords: Cost; Length of stay; Outcomes; Outpatient total joint arthroplasty; Patient-reported outcome measures; Readmission; Total hip arthroplasty; Total knee arthroplasty.

Publication types

Review

MeSH terms

Ambulatory Surgical Procedures*
Arthroplasty, Replacement, Hip*
Arthroplasty, Replacement, Knee*
Humans
Postoperative Complications / epidemiology*
Treatment Outcome