Total hip arthroplasty at ASCs vs. hospital outpatient settings — 5 findings

Total hip arthroplasty can be safely performed in both ASC and hospital outpatient settings, according to a study published in The Journal of Arthroplasty.

Researchers analyzed 3,063 total hip arthroplasties performed by two surgeons, including 335 in an ASC and 630 in a hospital outpatient setting. They compared subgroups in ASC and hospital outpatient settings.

The ASC and hospital outpatient subgroups had similar 90-day complication, revision, all-cause reoperation, emergency department visit and readmission rates:

1. The complication rate was 3.9 percent for ASCs and 3.8 percent for hospital outpatient settings.

2. Revision rates were 0 percent in ASCs and 0.3 percent for hospital outpatients.

3. The all-cause reoperation rate for ASCs was 0.3 percent, compared to 0.8 percent for hospital outpatient settings.

4. Emergency department visits occurred in 0.9 percent of ASC cases and 0.3 percent of hospital outpatient cases.

5. Readmission rates were 0.6 percent in the ASC and 1.4 percent in the hospital outpatient setting.

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