Outpatient Total Hip Arthroplasty

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Abstract

Patients younger than 65 years were studied to determine what percentage of patients would enroll in a study of outpatient total hip arthroplasty, its safety, and benefits of the program. Of 192 eligible patients, 69 (36%) enrolled, and 53 (77%) of these went home the same day of surgery. Of 53, 44 maintained a diary for the first 3, weeks and 52 completed a satisfaction questionnaire at 6 weeks. Patients were followed for 6 months for occurrence of complications. There were no medical readmissions. Of 52 patients who completed a 6 week questionnaire, 50 (96%) were satisfied with the decision to have outpatient total hip arthroplasty. There were no objective physical benefits identified. This study reports the distribution of acceptance and completion of same day discharge for patients with total hip arthroplasty in a metropolitan population. It confirms safety in selected patients.

Section snippets

Patient Selection

One hundred ninety-two patients younger than 65 years, scheduled to undergo primary unilateral total hip arthroplasty between November 2006 and September 2007, were considered as candidates. Institutional review board approval was obtained, and all patients signed their informed consent before participating in the study.

Sixty-nine of 192 patients (36%) enrolled for same day discharge. Of 69 patients, 53 (77%) actually did go home the day of surgery. Demographics of all 69 enrolled same day

Results

Of 192 patients, 69 (36%) elected to enroll for outpatient total hip arthroplasty. Fifty-three of 69 enrolled patients (77%) achieved their goal of going home the same day as surgery. The mean length of hospital stay for the 53 patients was 11.1 ± 1.1 hours. Of 69 patients, 16 (23.2%) stayed at least 1 night (3 patients remained 2 nights, and 1 patient remained 4 nights). The reasons for not going home were pain in 2 patients, hypotension in 5, dizziness in 4, nausea in 3, infection in 1, and

Discussion

The questions of this study were how many patients would elect to go home the same day; was it safe for them to do so; and was there any benefit for those who went home. Of 192, 69 (36%) elected to go home, and 45 (28%) of 192 actually did go home. Of 69 who wanted to go home, 53 (77%) completed the same day discharge. By the criteria of no medical complications and no medical readmissions this treatment program was safe. The safety of our program confirmed the data of Berger et al [14] who

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  • Cited by (0)

    No benefits or funds were received in support of the study.

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