The study authors identified 177,818 patients in the National Surgical Quality Improvement Program registry who underwent inpatient and outpatient primary, elective total joint replacements or unicompartmental knee replacements from 2005 to 2014.There were 1,236 same-day procedures recorded.
Study authors found:
1. Both inpatient and same-day joint replacements were associated with similar rates of adverse events and readmissions. However, inpatient procedures were associated with a higher rate of thromboembolic events.
2. Same-day total knee replacements had a higher rate of return to the operating room than the inpatient procedures when the groups were assessed individually.
3. Factors associated with 30-day readmission among the same-day procedures include:
• BMI of 35 or more
• Insulin-dependent diabetes
• Non-insulin-dependent diabetes
• Age 85 years or older
4. Among same-day procedures, the most common reason for reoperation was infection.
More articles on orthopedic surgery:
4 key points on appropriate patient selection for total joint replacement in ASCs
30-day vs. 90-day total joint replacement episodes—which best captures readmissions? 5 notes
OrthoAtlanta adds Dr. Christopher Blurket to staff
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.