Retrospective ACS-NSQIP analysis of 169,406 primary THA and TKA cases (2011–2014) asking whether outpatient same-day discharge increases 30-day complications, readmissions, or reoperations compared to traditional inpatient stays, and which patient factors independently predict poor short-term outcomes.
When evaluating a patient for outpatient TJA, screen for age >70, malnutrition, cardiac disease, smoking, and diabetes — any of these independently predicts complications or readmission and should prompt inpatient admission instead.
Remember that the safety data supporting outpatient TJA comes entirely from hospital-based programs; applying it to a freestanding ASC requires additional caution.
Retrospective ACS-NSQIP analysis of 169,406 primary THA and TKA cases (2011–2014) asking whether outpatient same-day discharge increases 30-day complications, readmissions, or reoperations compared to traditional inpatient stays, and which patient factors independently predict poor short-term outcomes.
When evaluating a patient for outpatient TJA, screen for age >70, malnutrition, cardiac disease, smoking, and diabetes — any of these independently predicts complications or readmission and should prompt inpatient admission instead.
Remember that the safety data supporting outpatient TJA comes entirely from hospital-based programs; applying it to a freestanding ASC requires additional caution.