Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-120 |
Sentence |
denotes |
Safety of Same and Next Day Discharge Following Revision Hip and Knee Arthroplasty Using Modern Perioperative Protocols. |
T2 |
121-132 |
Sentence |
denotes |
BACKGROUND: |
T3 |
133-247 |
Sentence |
denotes |
Advances in perioperative care have enabled early discharge and outpatient primary total joint arthroplasty (TJA). |
T4 |
248-392 |
Sentence |
denotes |
However, the safety of early discharge after revision TJA (rTJA) remains unknown and the COVID-19 pandemic will force decreased hospitalization. |
T5 |
393-561 |
Sentence |
denotes |
This study compared 90-day outcomes in patients undergoing aseptic rTJA discharged the same or next day (early) to those discharged 2 or 3 days postoperatively (later). |
T6 |
562-570 |
Sentence |
denotes |
METHODS: |
T7 |
571-707 |
Sentence |
denotes |
In total, 530 aseptic rTJAs performed at a single tertiary care referral center (December 5, 2011 to December 30, 2019) were identified. |
T8 |
708-898 |
Sentence |
denotes |
Early and later discharge patients were matched as closely as possible on procedure type, sex, American Society of Anesthesiologists physical status classification, age, and body mass index. |
T9 |
899-964 |
Sentence |
denotes |
All patients were optimized using modern perioperative protocols. |
T10 |
965-1069 |
Sentence |
denotes |
The rate of 90-day emergency department (ED) visits and hospital admissions was compared between groups. |
T11 |
1070-1078 |
Sentence |
denotes |
RESULTS: |
T12 |
1079-1231 |
Sentence |
denotes |
In total, 183 early discharge rTJAs (54 hips, 129 knees) in 178 patients were matched to 183 later discharge rTJAs (71 hips, 112 knees) in 165 patients. |
T13 |
1232-1343 |
Sentence |
denotes |
Sixty-two percent of the sample was female, with an overall average age and body mass index of 63 ± 9.9 (range: |
T14 |
1344-1377 |
Sentence |
denotes |
18-92) years and 32 ± 6.9 (range: |
T15 |
1378-1391 |
Sentence |
denotes |
18-58) kg/m2. |
T16 |
1392-1536 |
Sentence |
denotes |
There was no statistical difference in 90-day ED visit rates between early (6/178, 3.4%) and later (11/165, 6.7%) discharge patients (P = .214). |
T17 |
1537-1658 |
Sentence |
denotes |
Ninety-day hospital admission rates for early (7/178, 3.9%) and later (4/165, 2.4%) discharges did not differ (P = .545). |
T18 |
1659-1670 |
Sentence |
denotes |
CONCLUSION: |
T19 |
1671-1834 |
Sentence |
denotes |
Using modern perioperative protocols with appropriate patient selection, early discharge following aseptic rTJA does not increase 90-day readmissions or ED visits. |
T20 |
1835-2033 |
Sentence |
denotes |
As hospital inpatient capacity remains limited due to COVID-19, select rTJA patients may safely discharge home the same or next day to preserve hospital beds and resources for more critical illness. |