1. Safety and Efficacy of Same-Day Hip Resurfacing
- Author
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William Macaulay, Afshin A. Anoushiravani, James D. Slover, Ran Schwarzkopf, James E. Feng, Lidia Ani, Scott Marwin, and Michael J. Collins
- Subjects
Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Arthroplasty, Replacement, Hip ,medicine.medical_treatment ,Operative Time ,Periprosthetic ,Patient Readmission ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,medicine ,Humans ,Orthopedics and Sports Medicine ,Postoperative Period ,030212 general & internal medicine ,030222 orthopedics ,business.industry ,Significant difference ,Emergency department ,Length of Stay ,Middle Aged ,Hip resurfacing ,Arthroplasty ,Patient Discharge ,Ambulatory Surgical Procedures ,Patient Satisfaction ,Orthopedic surgery ,Emergency medicine ,Female ,Surgery ,Electronic data ,business - Abstract
Same-day discharge (SDD) surgery in total hip arthroplasty (THA) has been shown to have similar outcomes to non-SDD THA in select patient populations. Hip resurfacing arthroplasty (HRA) is an alternative to THA for young, active patients, making them ideal candidates for SDD. This study compared the safety and efficacy of non-SDD HRA and SDD HRA for specific postoperative outcomes. An electronic data warehouse query was performed for procedures labeled “hip resurfacing.” Data collected included demographics, surgical factors, and quality metrics. Statistical analyses were evaluated using a graphing and statistics software program. Categorical variables were analyzed with chi-square tests and continuous variables with Student's t tests, with P P P =.01). Rates of infection, periprosthetic fractures, emergency department visits, and hospital readmissions were equivalent ( P =.99). Same-day discharge HRA is a safe and effective procedure with similar outcomes to non-SDD HRA regarding infections, fractures, emergency department visits, and readmissions. The major benefit of SDD is a shorter hospital stay that may lead to decreased cost while preserving and enhancing quality of care and patient satisfaction. [ Orthopedics . 2020;43(6):e595–e600.]
- Published
- 2020