BACKGROUND: Perhaps, the most significant developments in joint arthroplasty in the past decade have been in the area of multimodal perioperative management reducing pain, nausea, and length of stay leading to outpatient arthroplasty. METHODS: Over a 2-year period, we performed 1230 arthroplasty cases including partial knee, total hip, total knee, and selected revision cases. RESULTS: Patient satisfaction ranged from 98% to 100% great/good. Ninety-eight percent of patients were discharged the same day. There were no readmissions for pain control and an overall readmission rate of 2%. CONCLUSION: The outpatient program centers on the patient needs, family engagement, essentials of home recovery, preoperative education, efficient surgery, and a surgeon-controlled environment with a highly standardized care. This is a distinct shift in today's health-care environment, which has seen the expansion of regulatory demands; focus on Electronic Health Record, and distractions from real discussions of demonstrated value creation. The future is bright for both ambulatory surgery center and hospital development of successful outpatient joint arthroplasty program for patients and surgeons alike.
BACKGROUND: Perhaps, the most significant developments in joint arthroplasty in the past decade have been in the area of multimodal perioperative management reducing pain, nausea, and length of stay leading to outpatient arthroplasty. METHODS: Over a 2-year period, we performed 1230 arthroplasty cases including partial knee, total hip, total knee, and selected revision cases. RESULTS:Patient satisfaction ranged from 98% to 100% great/good. Ninety-eight percent of patients were discharged the same day. There were no readmissions for pain control and an overall readmission rate of 2%. CONCLUSION: The outpatient program centers on the patient needs, family engagement, essentials of home recovery, preoperative education, efficient surgery, and a surgeon-controlled environment with a highly standardized care. This is a distinct shift in today's health-care environment, which has seen the expansion of regulatory demands; focus on Electronic Health Record, and distractions from real discussions of demonstrated value creation. The future is bright for both ambulatory surgery center and hospital development of successful outpatientjoint arthroplasty program for patients and surgeons alike.
Authors: Drake G LeBrun; Scott M LaValva; Bradford S Waddell; David J Mayman; Seth A Jerabek; Michael M Alexiades; Michael P Ast Journal: HSS J Date: 2021-11-08
Authors: Ritesh R Shah; Nancy E Cipparrone; Alexander C Gordon; David J Raab; James R Bresch; Nishant A Shah Journal: Arthroplast Today Date: 2018-09-22
Authors: Kirill Gromov; Christoffer Calov Jørgensen; Pelle Baggesgaard Petersen; Per Kjaersgaard-Andersen; Peter Revald; Anders Troelsen; Henrik Kehlet; Henrik Husted Journal: Acta Orthop Date: 2019-02-11 Impact factor: 3.717
Authors: Kent R Kraus; Leonard T Buller; Peter P Caccavallo; Mary Ziemba-Davis; R Michael Meneghini Journal: J Arthroplasty Date: 2020-07-16 Impact factor: 4.757