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Review
. 2017 Sep;10(3):397-403.
doi: 10.1007/s12178-017-9422-7.

Current Trends in Discharge Disposition and Post-discharge Care After Total Joint Arthroplasty

T David Tarity  1 , Marion M Swall  2
Affiliations
Review

Current Trends in Discharge Disposition and Post-discharge Care After Total Joint Arthroplasty

T David Tarity et al. Curr Rev Musculoskelet Med. 2017 Sep.

Abstract

Purpose of review: The purpose of this manuscript is to review published literature over the last 5 years to assess recent trends and influencing factors regarding discharge disposition and post-discharge care following total joint arthroplasty. We evaluated instruments proposed to predict a patient's discharge disposition and summarize reports investigating the safety in sending more patients home by reviewing complications and readmission rates.

Recent findings: Current literature supports decreased length of hospital stay and increased discharge to home with cost savings and stable readmission rates. Surgeons with defined clinical pathways and those who shape patient expectations may more effectively control costs than those without defined pathways. Further research is needed analyzing best practices in care coordination, managing patient expectations, and cost-effective analysis of home discharge while at the same time ensuring patient outcomes are optimized following total joint arthroplasty.

Keywords: Discharge disposition; Post-discharge care; Total joint arthroplasty.

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Conflict of interest statement

Conflict of Interest

Both authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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