February 19, 2019
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Similar complication risks seen with outpatient vs inpatient arthroplasty procedures

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Craig J. Della Valle

According to a recently published study, arthroplasty surgeries among appropriately selected patients may be performed safely at an ambulatory surgery center, without an increased risk for complications.

"These results suggest that in appropriately selected patients outpatient surgery in a free standing [ambulatory surgery center] ASC can be performed as safely as an inpatient hospital stay," Craig J. Della Valle, MD, told Healio.com/Orthopedics.

Della Valle and colleagues identified 243 consecutive patients who underwent outpatient arthroplasty and compared them to 243 patients who underwent inpatient arthroplasty. Investigators used the American Society of Anesthesiologists score and BMI. Reoperation, readmission, unplanned clinic or emergency department visits and major and minor complications were among the 90-day complications compared with the 2-sample proportions test.

Results showed the readmission rates for inpatient and outpatient patients were 2.1%. Investigators noted there was no statistically significant differences seen in the rates of major and minor complications, reoperations, emergency department visits and unplanned clinic visits among the cohorts. – by Monica Jaramillo

 

Disclosures: Della Valle reports he is a consultant for DePuy Synthes, Smith & Nephew and Zimmer-Biomet; receives research support from Smith & Nephew and Stryker; and receives royalties from Zimmer-Biomet.