Inpatient versus Outpatient Total Knee Arthroplasty

被引：58
作者：
Edwards, Paul K. [1 ]
Milles, Jeffrey L. [1 ]
Stambough, Jeffrey B. [1 ]
Barnes, C. Lowry [1 ]
Mears, Simon C. [1 ]
机构：
[1] Univ Arkansas Med Sci, Dept Orthopaed Surg, 4301 West Markham St,Slot 531, Little Rock, AR 72205 USA
来源：
JOURNAL OF KNEE SURGERY | 2019年 / 32卷 / 08期
关键词：
arthroplasty; outpatient; inpatient; total knee arthroplasty; TOTAL HIP-ARTHROPLASTY; PREOPERATIVE EDUCATION; JOINT ARTHROPLASTY; ELECTIVE HIP; COMPLICATIONS; REPLACEMENT; MORTALITY; DISCHARGE; PROGRAM; PATIENT;
D O I：
10.1055/s-0039-1683935
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：
The rise of improved perioperative recovery protocols after total knee arthroplasty (TKA) has led to faster, more streamlined hospital stays for many patients. Combined with the implementation of value-based care and bundled payment initiatives, there has been a paradigm shift toward outpatient TKA surgery. This change to practice has been accelerated by recent policy changes enacted by the Center for Medicaid and Medicare Services regarding the removal of TKA as an inpatient only procedure as well as some insurance companies denying preauthorization for inpatient stays after TKA. Our review aims to address the inclusion and exclusion criteria for outpatient TKA consideration, examine the outcomes for outpatient joint replacement surgery, and discuss limitations of widespread adoption for same-day discharges.
引用
收藏
页码：730 / 735
页数：6
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