Safety of Outpatient Total Hip Arthroplasty Performed in Patients 65 Years of Age and Older in an Ambulatory Surgery Center

Zachary A Mosher; Tyler E Calkins; Seth R Cope; Zachary K Pharr; Marcus C Ford

doi:10.1016/j.ocl.2023.05.009

Safety of Outpatient Total Hip Arthroplasty Performed in Patients 65 Years of Age and Older in an Ambulatory Surgery Center

Orthop Clin North Am. 2024 Jan;55(1):1-7. doi: 10.1016/j.ocl.2023.05.009. Epub 2023 Jul 23.

Authors

Zachary A Mosher¹, Tyler E Calkins¹, Seth R Cope¹, Zachary K Pharr¹, Marcus C Ford²

Affiliations

¹ Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38014, USA; Department of Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38014, USA.
² Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38014, USA; Department of Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38014, USA. Electronic address: mford@campbellclinic.com.

PMID: 37980094
DOI: 10.1016/j.ocl.2023.05.009

Abstract

Studies regarding the safety of same day discharge (SDD) in patients ≥65 years of age undergoing total hip arthroplasty (THA) are lacking. A retrospective review of 69 patients undergoing SDD following primary THA in 2 free-standing ambulatory surgical centers (ASCs) was performed to evaluate for safety and complications. Sixty-six patients met SDD goals, while 1 patient required transport to a hospital for transfusion, and 2 patients underwent overnight observation in the ASC. This study reveals that with appropriate preoperative evaluation, patient selection, and education, THA in a free-standing ASC can be safely performed in patients ≥65 years of age.

Keywords: Ambulatory surgery center; Geriatric; Outpatient total hip arthroplasty; Safety; Same-day discharge.

Publication types

Review

MeSH terms

Ambulatory Surgical Procedures / adverse effects
Arthroplasty, Replacement, Hip* / adverse effects
Humans
Length of Stay
Outpatients
Patient Discharge
Postoperative Complications / etiology
Retrospective Studies