Outpatient TJA linked with high patient satisfaction, low readmission rates
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LAS VEGAS — Patients who underwent outpatient total joint arthroplasty had high satisfaction scores and low readmission rates, according to results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
“Outpatient surgery has 100% changed how we interact with patients. There are far fewer ‘touches’ with the patient while they are in the hospital or ASC. This has required far more work preoperatively and postoperatively to assure patient safety and satisfaction,” Vivek M. Shah, MD, FAAOS, director of outpatient arthroplasty at Brigham and Women’s Hospital, told Healio. “Compared with 5 years ago, outpatient surgery has changed my practice to the point where close to 75% of all the TJAs I perform are on an outpatient basis,” Shah added.
Shah and colleagues performed a prospective study of 281 outpatient TJA procedures from two academic medical centers from May 2018 to December 2020. The cohort consisted of 66 outpatient total hip arthroplasties, 35 outpatient total knee arthroplasties and 180 outpatient unicompartmental knee arthroplasties, according to the study. Outcome measures included functional scores, patient satisfaction with the outpatient process and readmissions.
Shah and colleagues found 100% of the THA cohort, 93.8% of the TKA cohort and 93% of the UKA cohort were satisfied and would elect to undergo their procedure again. Additionally, 94% of the THA cohort, 81% of the TKA cohort and 95% of the UKA cohort said they would undergo the procedure as an outpatient again. Readmission rates were 3% in the THA cohort, 2.9% in the TKA cohort and 5.6% in the UKA cohort.
“The majority of published literature on success of outpatient TJA has been provided from studies performed at ASCs,” Shah said. “This is the first study of its kind to show that patients at an academic medical center can also be successfully discharged home on the day of surgery with equal satisfaction and low complications,” he concluded.
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Jamison MP, et al. Poster 226. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 7-11, 2023; Las Vegas.
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