ArticleActa orthopaedica2019
Complications and readmissions following outpatient total hip and knee arthroplasty: a prospective 2-center study with matched controls.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Safety, efficacy and cost-effectiveness of outpatient versus inpatient joint arthroplasty: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Clinical, functional, and radiological outcomes of robotic assisted versus conventional total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials.Journal of robotic surgery · 2024Pooled it
- Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial.Acta orthopaedica · 2020Trial
- The cost of outpatient versus inpatient total hip arthroplasty: a randomized trial.Canadian journal of surgery. Journal canadien de chirurgieTrial
- Total Hip Arthroplasty Is Associated With Lower 90-Day Inpatient Readmission Than Hemiarthroplasty for Femoral Neck Fracture in Patients Aged 65-75 Years: A Propensity Score-Matched Nationwide Readmissions Database Study.Arthroplasty today · 2026Article
- Same-day discharge total hip arthroplasty through the direct anterior approach using a standardised pathway: safety and reproducibility in three hundred eighty-four consecutive cases.International orthopaedics · 2026Article
- General Anaesthesia Versus Spinal Anaesthesia for Outpatient Total Hip and Knee Arthroplasty: A Randomised Trial Protocol.Acta anaesthesiologica Scandinavica · 2026Article
- Article
- Achieving effective and timely quality of care in same-day discharge total hip arthroplasty without compromising patient safety.BMJ open quality · 2026Article
- Primary Diagnoses Associated With and Outcomes of Total Knee Arthroplasty in Patients Aged 15 to 45 Years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Anesthesia and Analgesia Methods in Primary Total Hip Arthroplasty and Primary Total Knee Arthroplasty-A Survey of Nordic Anesthesiologists.Acta anaesthesiologica Scandinavica · 2025Article
- In-Hospital Pain and Opioid Consumption After Primary Total Knee Arthroplasty Compared to Primary Total Hip Arthroplasty: Results from 7330 Patients Treated in a Fast-Track Setting.Pain and therapy · 2025Article
- Assessing social disparities in inpatient vs. outpatient arthroplasty: a in-state database analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Social Risk Determinants for Successful Same Calendar Day Discharge in Total Joint Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Multi-center experience with outpatient total hip arthroplasty via a standard posterolateral approach.PloS one · 2024Article
- Utilization, Complications, and Costs of Inpatient versus Outpatient Total Elbow Arthroplasty.Hand (New York, N.Y.) · 2023Article
- Article
- 10-year evolution of day-case hip and knee arthroplasty: a Danish nationwide register study of 166,833 procedures from 2010 to 2020.Acta orthopaedica · 2023Article
- Total knee arthroplasty in the outpatient vs inpatient settings: impact of site of care on early postoperative economic and clinical outcomes.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Outpatient arthroplasty has gained popularity in recent years; however, safety concerns still remain regarding complications and readmissions. In a prospective 2-center study we investigated early readmissions with overnight stay and complications following outpatient total hip (THA) and total knee arthroplasty (TKA) compared with a matched patient cohort with at least 1 postoperative night in hospital. Patients and methods - All consecutive and unselected patients scheduled for THA or TKA at 2 participating hospitals were screened for potential day of surgery (DOS) discharge. Patients who fulfilled the DOS discharge criteria were discharged home. Patients discharged on DOS were matched on preoperative characteristics using propensity scores to patients operated at the same 2 departments prior to the beginning of this study with at least 1 overnight stay. All readmissions within 90 days were identified. Results - It was possible to match 116 of 138 outpatients with 339 inpatient controls. Median LOS in the control cohort was 2 days (1-9). 7 (6%) outpatients and 13 (4%) inpatient controls were readmitted within 90 days. Readmissions occurred between postoperative day 2-48 and day 4-58 in the outpatient and control cohorts, respectively. Importantly, we found no readmissions within the first 48 hours and no readmissions were related to the DOS discharge. Interpretation - Readmission rates in patients discharged on DOS may be similar to matched patients with at least 1 overnight stay. With the selection criteria used, there may be no safety signal associated with same-day discharge.
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