Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

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

Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Temporal trends in the use of antithrombotics at admission

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Background and purpose - Outpatient total knee and total hip arthroplasty (TKA and THA) has been shown to be feasible and safe in selected patients. However, little data is available on functional outcome and early pain in patients discharged on the day of surgery (DOS). We investigated patient-reported outcomes at 1 year and early pain in outpatient TKA and THA patients discharged on the day of surgery (DOS) (DDOS) compared with patients scheduled for outpatient surgery but not discharged on the DOS (nDDOS). Patients and methods - Prospective data on 261 consecutive patients scheduled for outpatient TKA (n = 126) and THA (n = 135) were collected. 37% of TKA patients and 33% of THA patients were discharged on the DOS. Pain scores at rest and activity and use of morphine were registered on postoperative days 1-7. Oxford Knee Score (OKS) and Oxford Hip Score (OHS) were collected preoperatively and at 3 and 12 months' follow-up. Results - DDOS and nDDOS patients were similar in respect to age, sex, procedure type (TKA vs. THA), or preoperative OKS or OHS. Neither OKS nor OHS differed between groups at 3 and 12 months' follow-up. Pain at rest and activity and use of morphine did not differ between the 2 groups on days 1-7. Interpretation - In patients scheduled for outpatient TKA and THA, we found similar patient-reported outcomes both early and at 1 year in those discharged on the DOS and those who had at least 1 overnight stay.

Original languageEnglish
JournalActa Orthopaedica (Online)
Volume92
Issue number1
Pages (from-to)62-66
Number of pages5
ISSN1745-3682
DOIs
Publication statusPublished - Feb 2021

    Research areas

  • Aged, Ambulatory Surgical Procedures, Analgesics, Opioid/therapeutic use, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Cohort Studies, Female, Humans, Male, Middle Aged, Morphine/administration & dosage, Pain Measurement, Pain, Postoperative/drug therapy, Patient Discharge, Patient Reported Outcome Measures, Prospective Studies, Recovery of Function

ID: 61112362