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Outpatient total hip arthroplasty : the future? / Solange de Wouters in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Outpatient total hip arthroplasty : the future? Type de document : texte imprimé Auteurs : Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu Année de publication : 2021 Article en page(s) : p. 313-319 Note générale : https://doi.org/10.52628/87.2.16 Langues : Anglais (eng) Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319[article] Outpatient total hip arthroplasty : the future? [texte imprimé] / Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu . - 2021 . - p. 313-319.
https://doi.org/10.52628/87.2.16
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319
Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666 Exemplaires (1)
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Exclu du prêtInfluence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes / Vincent Tomasi in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Influence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes Type de document : texte imprimé Auteurs : Vincent Tomasi ; Alex Demurie ; Ignace Ghijselings ; Olivier Cornu ; Hans Van Den Wyngaert Année de publication : 2021 Article en page(s) : p. 103-109 Note générale : https://doi.org/10.52628/87.1.13 Langues : Anglais (eng) Mots-clés : Total knee arthroplasty outpatient fast-track program complications discharge criteria Résumé : Firstly, this study compared the rate of readmission after a total knee arthroplasty between selected out- patients (no hospitalization, directly sent home after surgery) and inpatients (3 days hospitalization) at 6 weeks. Secondly, it examined the mobility and the complications in the two groups after the same period of time.
The rate of readmission, complications and knee mobility of 32 outpatients (M-age : 61 years ± 10 ; 10 females), were compared against those of 32 birth- matched inpatients (M-age : 64 years ± 8.6 ; 10 females).
No patient was re-admitted in either group. Post- surgical complications included one hematoma resorbed at 6 weeks in the outpatient group and three joint effusions in the inpatient group. There were no instances of deep venous thrombosis, failure of primary fixation, infection, or wound dehiscence. Knee mobility was identical between the two groups.
This is the first study to compare inpatient and outpatient total knee arthroplasty in a Belgian setting. Our study suggests that day-care total knee arthroplasty in selected patients is possible without increasing the rate of re-admission and complications, and without affecting the mobility at 6 weeks. However, the Belgian financial incentives do not seem to currently promote this surgical approach. These results should be confirmed with a larger sample to define the adequate length of stay after a total knee arthroplasty.Permalink : ./index.php?lvl=notice_display&id=96592
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 103-109[article] Influence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes [texte imprimé] / Vincent Tomasi ; Alex Demurie ; Ignace Ghijselings ; Olivier Cornu ; Hans Van Den Wyngaert . - 2021 . - p. 103-109.
https://doi.org/10.52628/87.1.13
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 103-109
Mots-clés : Total knee arthroplasty outpatient fast-track program complications discharge criteria Résumé : Firstly, this study compared the rate of readmission after a total knee arthroplasty between selected out- patients (no hospitalization, directly sent home after surgery) and inpatients (3 days hospitalization) at 6 weeks. Secondly, it examined the mobility and the complications in the two groups after the same period of time.
The rate of readmission, complications and knee mobility of 32 outpatients (M-age : 61 years ± 10 ; 10 females), were compared against those of 32 birth- matched inpatients (M-age : 64 years ± 8.6 ; 10 females).
No patient was re-admitted in either group. Post- surgical complications included one hematoma resorbed at 6 weeks in the outpatient group and three joint effusions in the inpatient group. There were no instances of deep venous thrombosis, failure of primary fixation, infection, or wound dehiscence. Knee mobility was identical between the two groups.
This is the first study to compare inpatient and outpatient total knee arthroplasty in a Belgian setting. Our study suggests that day-care total knee arthroplasty in selected patients is possible without increasing the rate of re-admission and complications, and without affecting the mobility at 6 weeks. However, the Belgian financial incentives do not seem to currently promote this surgical approach. These results should be confirmed with a larger sample to define the adequate length of stay after a total knee arthroplasty.Permalink : ./index.php?lvl=notice_display&id=96592 Exemplaires (1)
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Exclu du prêtAmbulatory hand emergency: 2 years-experience in an public university hospital center / Alice Carricaburu in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Ambulatory hand emergency: 2 years-experience in an public university hospital center Type de document : texte imprimé Auteurs : Alice Carricaburu ; Jordane Mouton ; Iad Nseir ; Roberto Beccari ; Silvia Gandolfi ; Isabelle Auquit-Auckbur Année de publication : 2021 Article en page(s) : p. 211-217 Note générale : https://doi.org/10.52628/87.2.02 Langues : Anglais (eng) Mots-clés : hand emergency public outpatient traumatology hand surgery Résumé : Hand emergencies represent the most frequent traumatic injuries and outpatient surgery is still improving. It will achieve 70% of total surgeries by 2022.
Our hand trauma center has been able to set up an emergency day surgery department in a university hospital center.
With this article, we would like to report the ambula- tory care management and practice for hand emer- gencies in our university hospital center over 2 years. 892 patients suffering from hand traumas and managed in our day surgery department, were retro-spectively reviewed between January 2016 and December 2017. Patients’ demographic data, anesthe- tic data, trauma’s circumstances, medical care and surgical outcomes have been disclosed. A descriptive analysis and a statistical assessment was realized.
Cut injury was the most recorded case, followed by impactions. Tendon injuries were the most frequent (32%), followed by fractures (26%), and exposed joints (18%). 13% of injuries were nil findings. Average patient care delay was 1.16 days. Mean of hospitalization was 7.5 hours. 16/892 patients needing intravenous antibiotics required hospitalization. 41 complications including 27 secondary surgeries were reported.
Hospital facilities are forced to reassess their entire procedures to achieve efficiency and improvement for healthcare. Progress in outpatient surgery permits emergency management in hand surgery, improving patient cares both medically and economically.Permalink : ./index.php?lvl=notice_display&id=96619
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 211-217[article] Ambulatory hand emergency: 2 years-experience in an public university hospital center [texte imprimé] / Alice Carricaburu ; Jordane Mouton ; Iad Nseir ; Roberto Beccari ; Silvia Gandolfi ; Isabelle Auquit-Auckbur . - 2021 . - p. 211-217.
https://doi.org/10.52628/87.2.02
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 211-217
Mots-clés : hand emergency public outpatient traumatology hand surgery Résumé : Hand emergencies represent the most frequent traumatic injuries and outpatient surgery is still improving. It will achieve 70% of total surgeries by 2022.
Our hand trauma center has been able to set up an emergency day surgery department in a university hospital center.
With this article, we would like to report the ambula- tory care management and practice for hand emer- gencies in our university hospital center over 2 years. 892 patients suffering from hand traumas and managed in our day surgery department, were retro-spectively reviewed between January 2016 and December 2017. Patients’ demographic data, anesthe- tic data, trauma’s circumstances, medical care and surgical outcomes have been disclosed. A descriptive analysis and a statistical assessment was realized.
Cut injury was the most recorded case, followed by impactions. Tendon injuries were the most frequent (32%), followed by fractures (26%), and exposed joints (18%). 13% of injuries were nil findings. Average patient care delay was 1.16 days. Mean of hospitalization was 7.5 hours. 16/892 patients needing intravenous antibiotics required hospitalization. 41 complications including 27 secondary surgeries were reported.
Hospital facilities are forced to reassess their entire procedures to achieve efficiency and improvement for healthcare. Progress in outpatient surgery permits emergency management in hand surgery, improving patient cares both medically and economically.Permalink : ./index.php?lvl=notice_display&id=96619 Exemplaires (1)
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Exclu du prêtCan Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? / Julie DE BEULE in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : Can Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? Type de document : texte imprimé Auteurs : Julie DE BEULE, Auteur Année de publication : 2014 Article en page(s) : p.391-396 Langues : Anglais (eng) Mots-clés : outpatient ACL reconstruction complication readmission Résumé : Anterior cruciate ligament reconstruction is performed as an outpatient procedure in selected cases. Whether it can be safely performed on a routine basis in day clinic remains unclear. Our hypothesis was that routinely performing outpatient anterior cruciate ligament reconstruction would be equally safe as compared to inpatient procedures. A cohort of 355 patients who underwent outpatient primary reconstruction was analysed at an average follow-up of 3.8 years. Four patients (1.1%) could not be discharged or were readmitted within 24 hours. The 1-month readmission rate was 1.4%. The overall complication rate was 12.1% (43 cases) of which 4.2% (15 patients) occurred within the first 30 days. Performing anterior cruciate ligament reconstructions routinely in day clinic is associated with almost negligible readmission rates and has similar complication rates as for standard in-hospital anterior cruciate ligament reconstructions. Outpatient anterior cruciate ligament reconstructions can therefore be safely performed without specific preoperative patient selection protocols. Permalink : ./index.php?lvl=notice_display&id=34654
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.391-396[article] Can Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? [texte imprimé] / Julie DE BEULE, Auteur . - 2014 . - p.391-396.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.391-396
Mots-clés : outpatient ACL reconstruction complication readmission Résumé : Anterior cruciate ligament reconstruction is performed as an outpatient procedure in selected cases. Whether it can be safely performed on a routine basis in day clinic remains unclear. Our hypothesis was that routinely performing outpatient anterior cruciate ligament reconstruction would be equally safe as compared to inpatient procedures. A cohort of 355 patients who underwent outpatient primary reconstruction was analysed at an average follow-up of 3.8 years. Four patients (1.1%) could not be discharged or were readmitted within 24 hours. The 1-month readmission rate was 1.4%. The overall complication rate was 12.1% (43 cases) of which 4.2% (15 patients) occurred within the first 30 days. Performing anterior cruciate ligament reconstructions routinely in day clinic is associated with almost negligible readmission rates and has similar complication rates as for standard in-hospital anterior cruciate ligament reconstructions. Outpatient anterior cruciate ligament reconstructions can therefore be safely performed without specific preoperative patient selection protocols. Permalink : ./index.php?lvl=notice_display&id=34654 Exemplaires (1)
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Exclu du prêt