PubMed:32839058 JSONTXT 19 Projects

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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.