Influence 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)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 103-109 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 [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

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