Outpatient-Focused Joint Arthroplasty Is the Future: The Midwest Center for Joint Replacement Experience

被引:39
作者
Berend, Michael E. [1 ]
Lackey, Wesley G. [1 ]
Carter, Joshua L. [1 ]
机构
[1] Midwest Specialty Surg Ctr, Midwest Ctr Joint Replacement, 6920 Gatwick Dr, Indianapolis, IN 46241 USA
关键词
outpatient focused; joint arthroplasty; outpatient; hip; knee; valve;
D O I
10.1016/j.arth.2018.02.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Perhaps, the most significant developments in joint arthroplasty in the past decade have been in the area of multimodal perioperative management reducing pain, nausea, and length of stay leading to outpatient arthroplasty. Methods: Over a 2-year period, we performed 1230 arthroplasty cases including partial knee, total hip, total knee, and selected revision cases. Results: Patient satisfaction ranged from 98% to 100% great/good. Ninety-eight percent of patients were discharged the same day. There were no readmissions for pain control and an overall readmission rate of 2%. Conclusion: The outpatient program centers on the patient needs, family engagement, essentials of home recovery, preoperative education, efficient surgery, and a surgeon-controlled environment with a highly standardized care. This is a distinct shift in today's health-care environment, which has seen the expansion of regulatory demands; focus on Electronic Health Record, and distractions from real discussions of demonstrated value creation. The future is bright for both ambulatory surgery center and hospital development of successful outpatient joint arthroplasty program for patients and surgeons alike. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:1647 / 1648
页数:2
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