1. Same-Day Bilateral Total Knee Arthroplasty: Incidence and Perioperative Outcome Trends from 2009 to 2016
- Author
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Greg Gilson, Ethan A. Remily, Tyler Smith, James Nace, Ronald E. Delanois, Joshua W. Zweigle, Nequesha S. Mohamed, and Wayne A. Wilkie
- Subjects
Male ,medicine.medical_specialty ,Patient demographics ,Total knee arthroplasty ,Patient characteristics ,Comorbidity ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Arthroplasty, Replacement, Knee ,Aged ,Aged, 80 and over ,Inpatients ,030222 orthopedics ,business.industry ,Incidence ,Incidence (epidemiology) ,Perioperative ,Length of Stay ,Middle Aged ,medicine.disease ,Hospital Charges ,Obesity ,Patient Discharge ,United States ,Orthopedic surgery ,Female ,National database ,business - Abstract
BACKGROUND Same-day bilateral total knee arthroplasty (BiTKA) is a controversial topic in orthopedics, prompting a consensus statement to be released by national experts. To date, no studies have evaluated the trends of this method since these recommendations. This study utilized a national database to evaluate: 1) incidence; 2) patient characteristics; 3) hospital characteristics; and 4) inpatient course for same-day BiTKAs in the United States from 2009 to 2016. METHOD The National Inpatient Sample database was queried for individuals undergoing same-day BiTKAs, yielding 245,138 patients. Patient demographics included age, sex, race, obesity status and Charlson Comorbidity Index (CCI) score. Hospital characteristics consisted of location/teaching status, geographic region, charges, and costs. Inpatient course included length of stay, discharge disposition, and complications. RESULTS Same-day BiTKA incidence decreased from 5.6% to 4.0% over the study (p
- Published
- 2020
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