ArticleKorean journal of anesthesiology2021
Demographic and clinical factors associated with same-day discharge and unplanned readmission following shoulder arthroplasty: a retrospective cohort study.
Article in Korean journal of anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Outpatient Reverse Total Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2026Review
- A worldwide cross-sectional survey seeks the current global practice patterns on perioperative management in elective shoulder replacement surgery.JSES international · 2026Article
- The Impact of Preoperative Risk Factors on Unplanned Readmission After Day Surgery: A Meta-Analysis.Journal of personalized medicine · 2025Review
- Ethical considerations in shoulder arthroplasty in patients who are obese.JSES reviews, reports, and techniques · 2025Review
- Perioperative Management, Complications, and Outcomes of Shoulder Arthroplasty in Patients with Diabetes Mellitus.JBJS reviews · 2025Review
- Definitional differences in "outpatient" surgery can influence study outcomes related to total shoulder arthroplasty.JSES international · 2025Article
- High comorbidity burden and low incidence of adverse events in primary shoulder arthroplasty in tertiary care at a university hospital.Journal of orthopaedics · 2024Article
- Reasons and Risk Factors for Same-Day Discharge Following Total Joint Arthroplasty: A Systematic Review.Arthroplasty today · 2024Article
- Introducing A Day-Case Shoulder Arthroplasty Pathway In The UK - How We Did It.Shoulder & elbow · 2023Article
- Transparency considerations for describing statistical analyses in research.Korean journal of anesthesiology · 2021Article
- Emerging safety concerns in elderly patients undergoing shoulder surgery.Korean journal of anesthesiology · 2021Article
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9 authors.
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Abstract
backgroundSame-day discharge, defined as discharge from the hospital within 24 h of surgery, has been shown to be safe for joint arthroplasty. We examined demographic and clinical factors associated with same-day discharge and unplanned readmission following shoulder arthroplasty in adult patients.
methodsUtilizing data from the American College of Surgeons National Surgical Quality Improvement Program database, we extracted information of all patients that underwent shoulder arthroplasty. The primary and secondary outcome of interest was same-day discharge and 30-day unplanned readmission, respectively. We utilized multivariable logistic regression to identify covariates associated with these outcomes.
resultsThere were 17,011 patients analyzed when identifying predictors for same-day discharge. There was an increase in same-day discharge from 2007 to 2016. The odds of same-day discharge were significantly better for males (P < 0.001). The odds of same-day discharge was significantly decreased for every 10-year increase in age and for patients with insulin dependent diabetes, poor functional status, chronic obstructive pulmonary disease, congestive heart failure, bleeding disorder, and comorbidity burden (all P < 0.001). There were 14,276 patients analyzed for hospital readmission. The odds of unplanned readmission were significantly higher for every 10-year increase in age and for patients with poor functional status, congestive heart failure, bleeding disorder, and higher comorbidity burden (all P < 0.001).
conclusionsThe results of this study show that preoperative comorbidities and advanced age reduce the odds of same-day discharge. Risk stratification, preoperative optimization, and coordinated care after surgery may be helpful to optimize patients for same-day discharge.
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