Identifying Reasons for Failed Same-Day Discharge Following Primary Total Hip Arthroplasty

The Journal of Arthroplasty
James F FraserWilliam J Hozack

Abstract

As total hip arthroplasty (THA) gains popularity in ambulatory surgery centers, it is important to understand the causes of failed same-day discharge (SDD). The purpose of this study is to (1) identify reasons for an overnight stay among patients selected as candidates for SDD following THA and (2) determine what pre-operative factors are more common among patients who fail SDD. This is a prospective cohort study of patients undergoing THA who were identified as candidates for SDD (<75 years, ambulate without walker, American Society of Anesthesiologists score 1-3, body mass index <40 kg/m2, and agreed to SDD pre-operatively). The primary outcome was the reason for not discharging home on the same day of surgery. Secondary outcomes included the proportion of patients who failed SDD and any pre-operative patient characteristics that could be linked to failed SDD. Seventy-eight of 106 (74%) patients pre-selected for SDD were successfully discharged per protocol. Of the 28 (26%) patients who failed SDD, the most common reasons for failure were patient preference (12), dizziness or hypotension (8), failure to clear physical therapy (5), urinary retention (2), and pain management (1). There was a higher percentage of patients in the...Continue Reading

Citations

Dec 19, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·David A CrawfordJoanne B Adams
Oct 2, 2020·Current Opinion in Anaesthesiology·Jesse StewartGirish P Joshi
Feb 13, 2021·Bone & Joint Open·Joshua W ThompsonFares S Haddad
Feb 2, 2021·The Journal of Arthroplasty·Elizabeth G LiebermanCharles M Lawrie
Dec 8, 2020·The Journal of Arthroplasty·Mark A OyerMichael D Stover
Aug 29, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Yanling ZhuXiaoliang Gan
Apr 9, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Erwan PansardAhmed Moulay Meziane
May 21, 2021·Anaesthesia·M AngerUNKNOWN PROSPECT Working Group* and the European Society of Regional Anaesthesia and Pain Therapy
Jun 3, 2021·Archives of Orthopaedic and Trauma Surgery·Vivek SinghRoy I Davidovitch

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.