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The Capital Region of Denmark - a part of Copenhagen University Hospital
E-pub ahead of print

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

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  1. 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

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

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

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

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

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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.

Original languageEnglish
JournalActa Orthopaedica (Online)
Pages (from-to)1-5
Number of pages5
ISSN1745-3682
DOIs
Publication statusE-pub ahead of print - 12 May 2021

Bibliographical note

Publisher Copyright:
© 2021 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

ID: 65654071