We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Low complication rate after same-day total hip arthroplasty: a retrospective, single-center cohort study in 116 procedures.
- Authors
Madsen, Merete N; Kirkegaard, Maria L; Laursen, Malene; Larsen, Jens R; Pedersen, Merete F; Skovgaard, Birgitte; PrynØ, Thomas; Mikkelsen, Lone R
- Abstract
Background and purpose — Length of hospital stay (LOS) following total hip arthroplasty (THA) has been markedly reduced. Recently, same-day THA (SD-THA) was introduced, and previous studies have indicated satisfactory safety. However, studies are heterogeneous and only a few report results on SD-THA when using a posterolateral surgical approach. Thus, our aim was to evaluate the feasibility of and complications after SD-THA when using a posterolateral approach. Patients and methods — Consecutive patients scheduled for SD-THA between October 2015 and June 2016 were included. Eligibility criteria for SD-THA were: primary THA, motivation for same-day procedure, age > 18 years, ASA I or II, and the presence of a support person who could remain with the patient for 24 hours after surgery. A posterolateral surgical approach was used. Data were collected retrospectively from hospital records and the Danish National Patient Registry. Outcome measures were: complications during admission, LOS, causes of prolonged admission, and prevalence and causes of readmission at 90 days' follow-up. Results — 102 of 116 (88%) patients scheduled for SD-THA were discharged on the day of surgery. The remaining 14 patients were discharged the following day. Primary causes of prolonged admission were: dizziness/nausea, pain, and wound seepage. 7 patients had an estimated blood loss above 400 mL, but all were discharged as planned. No major complications occurred during admission. At follow-up, 3 patients had been readmitted due to pneumonia, wound infection, and dislocation, respectively. Interpretation — The results indicate that SD-THA performed with a posterolateral approach is feasible and can be performed with a low complication rate in a selected group of patients.
- Subjects
DIZZINESS; HEALTH status indicators; LENGTH of stay in hospitals; HOSPITAL admission &; discharge; PATIENT aftercare; LONGITUDINAL method; MEDICAL records; MOTIVATION (Psychology); NAUSEA; HEALTH outcome assessment; PAIN; PATIENTS; OPERATIVE surgery; TOTAL hip replacement; DISEASE prevalence; RETROSPECTIVE studies; PATIENT readmissions; ADVERSE health care events; DESCRIPTIVE statistics; SURGICAL blood loss; MEDICAL drainage
- Publication
Acta Orthopaedica, 2019, Vol 90, Issue 5, p439
- ISSN
1745-3674
- Publication type
Article
- DOI
10.1080/17453674.2019.1637631