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Region Hovedstaden - en del af Københavns Universitetshospital
E-pub ahead of print

No increase in postoperative contacts with the healthcare system following outpatient total hip and knee arthroplasty

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Which Oxford Knee Score level represents a satisfactory symptom state after undergoing a total knee replacement?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Minimal important change values for the Oxford Knee Score and the Forgotten Joint Score at 1 year after total knee replacement

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. High risk for revision after shoulder arthroplasty for failed osteosynthesis of proximal humeral fractures

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Acetabular cup position and risk of dislocation in primary total hip arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background and purpose - Discharge on the day of surgery (DDOS) after total hip arthroplasty (THA) and total knee arthroplasty (TKA) has been shown to be safe in selected patients. Concerns have been raised that discharging patients on the day of surgery (DOS) could lead to an increased burden on other parts of the healthcare system when compared with patients not discharged on the DOS (nDDOS). Therefore, we investigated whether discharging patients on the day of surgery (DOS) after THA and TKA leads to increased contacts with the primary care sector or other departments within the secondary care sector.Patients and methods - Prospective data on 261 consecutive patients scheduled for outpatient THA (n = 135) and TKA (n = 126) were collected as part of a previous cohort study. 33% of THA patients and 37% of TKA patients were discharged on the DOS. Readmissions within 3 months after surgery were recorded. Contacts with the discharging department, other departments, and primary care physicians within 3 weeks were registered.Results - No statistically significant differences were found when comparing DDOS patients and patients not discharged on the DOS (nDDOS) with regard to readmissions, physical contacts with the discharging department, and contacts with other departments as well as general practitioners. THA DDOS patients had significantly fewer contacts with the discharging department by telephone than THA nDDOS patients. TKA DDOS patients had significantly more contacts with the discharging department by telephone than TKA nDDOS patients.Interpretation - Patients discharged on the DOS following THA or TKA generally have similar postoperative contacts with the healthcare system when compared with patients not discharged on the DOS.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Online)
Sider (fra-til)1-5
Antal sider5
ISSN1745-3682
DOI
StatusE-pub ahead of print - 12 maj 2021

Bibliografisk note

Funding Information:
No approval from the National Ethics Committee was necessary as this was a non-interventional observational study. The study was approved by the Danish Data Protection Agency (entry no. 20047-58-0015). This work was sponsored by grants from the Lundbeck Foundation and Zimmer-Biomet, which had no influence on any part of the study or on the content of the paper. The authors declare no conflicts of interest.

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