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. 2021 Apr 15;29(8):e410-e415.
doi: 10.5435/JAAOS-D-19-00636.

Defining Outpatient Hip and Knee Arthroplasties: A Systematic Review

Samuel G McClatchy  1 , Carson M Rider, William M Mihalko, Zachary K Pharr, Patrick C Toy
Affiliations

Defining Outpatient Hip and Knee Arthroplasties: A Systematic Review

Samuel G McClatchy et al. J Am Acad Orthop Surg. .

Abstract

Introduction: The term "outpatient" has a variety of meanings regarding the location of arthroplasty and the duration of stay postoperatively. The purpose of this systematic review was to evaluate the literature and more accurately define the term "outpatient."

Methods: A PubMed search (2014 to 2019) using the terms "outpatient AND arthroplasty" identified 76 studies; 35 studies that met the inclusion criteria were assessed to determine the definition of "outpatient." The level of evidence, type of arthroplasty, location of surgery (hospital or ambulatory surgery center [ASC]), approach used for hip arthroplasty, number of patients, number of surgeons, and length of time the patients were kept at the location after surgery were evaluated.

Results: Arthroplasties analyzed were total hip (11), total knee (seven), unicompartmental knee (five), and hip and knee (12). Only 16.8% of surgeries defined as outpatient hip or knee arthroplasty were done in a freestanding ASC, and 44.2% of patients defined as outpatients were kept overnight for the 23-hour observation.

Discussion: We propose "DASH" (Discharge from ASC to Home) as a new term to define arthroplasties done in an outpatient setting with the patient discharged home the same day.

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References

    1. Adelani MA, Barrack RL: Patient perceptions of the safety of outpatient total knee arthroplasty. J Arthroplasty 2019;34:462-464.
    1. Shah RR, Cipparrone NE, Gordon AC, Raab DJ, Bresch JR, Shah NA: Is it safe? Outpatient total joint arthroplasty with discharge to home at a freestanding ambulatory surgical center. Arthroplasty Today 2018;4:484-487.
    1. Darrith B, Frisch NB, Tetreault MW, Fice MP, Culvern CN, Della Valle CJ: Inpatient versus outpatient arthroplasty: A single-surgeon, matched cohort analysis of 90-day complications. J Arthroplasty 2019;34:221-227.
    1. Courtney PM, Froimson MI, Meneghini RM, Lee GC, Della Valle CJ: Can total knee arthroplasty be performed safely as an outpatient in the Medicare population? J Arthroplasty 2018;33:S28-S31.
    1. Aynardi M, Post Z, Ong A, Orozco F, Sukin DC: Outpatient surgery as a means of cost reduction in total hip arthroplasty: A case-control study. HSS J 2014;10:252-255.

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