TY - JOUR
T1 - Patient selection in outpatient and short-stay total knee arthroplasty.
AU - Lovald, Scott
AU - Ong, Kevin
AU - Lau, Edmund
AU - Joshi, Girish
AU - Kurtz, Steven
AU - Malkani, Arthur
PY - 2014/1/1
Y1 - 2014/1/1
N2 - The purpose of the current study is to identify patients who are at high risk for rehospitalization, revision, complications, and mortality after outpatient and short-stay total knee arthroplasty (TKA). The Medicare 5% limited data set sample was used to identify patients with a TKA procedure who were treated in an outpatient setting or who were discharged within 1 or 2 days in the hospital setting. Rehospitalization risk increased with higher Charlson score (i.e., poorer health status), older patients, inpatients (vs. outpatients), patients not receiving a femoral nerve block, earlier (vs. recent) year of surgery, and those with a recent history of heart failure. The findings of this study suggest that existing comorbidities, particularly heart failure, have the greatest effect on event risk after outpatient and short-stay TKA. The information obtained from this study should assist with patient selection for TKA performed on an outpatient basis.
AB - The purpose of the current study is to identify patients who are at high risk for rehospitalization, revision, complications, and mortality after outpatient and short-stay total knee arthroplasty (TKA). The Medicare 5% limited data set sample was used to identify patients with a TKA procedure who were treated in an outpatient setting or who were discharged within 1 or 2 days in the hospital setting. Rehospitalization risk increased with higher Charlson score (i.e., poorer health status), older patients, inpatients (vs. outpatients), patients not receiving a femoral nerve block, earlier (vs. recent) year of surgery, and those with a recent history of heart failure. The findings of this study suggest that existing comorbidities, particularly heart failure, have the greatest effect on event risk after outpatient and short-stay TKA. The information obtained from this study should assist with patient selection for TKA performed on an outpatient basis.
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U2 - 10.3113/JSOA.2014.0002
DO - 10.3113/JSOA.2014.0002
M3 - Article
C2 - 24641891
AN - SCOPUS:84900461402
SN - 1548-825X
VL - 23
SP - 2
EP - 8
JO - Journal of surgical orthopaedic advances
JF - Journal of surgical orthopaedic advances
IS - 1
ER -