Evidence map›Paper›PMID 35848135›Full record

ArticleHip international : the journal of clinical and experimental research on hip pathology and therapy2023

Causes and predictors of failed same-day home discharge following primary hip and knee total joint arthroplasty: a Canadian perspective.

Aaron M Gazendam, Daniel Tushinski, Mansi Patel, Kamal Bali, Danielle Petruccelli, Mitchell Winemaker, Justin DeBeer, Leslie Gillies, Katie Best, Jennifer Fife and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07334132 (General Anaesthesia vs Spinal Anaesthesia), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07334132 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

General Anaesthesia vs Spinal Anaesthesia: Patient Outcomes and Success in Outpatient Primary Total Knee and Hip Arthroplasty

TypeinterventionalSponsorRegion Örebro CountyRan2026 to 2029Enrolled600ConditionsOsteo Arthritis Knee and Hip, Osteo Arthritis, Inflammatory Joint Disease (IJD)ArmsGeneral Anaesthesia, Spinal Anesthesia (bupivacaine)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Aaron M GazendamMcMaster University, Hamilton, ON, Canada.
Daniel TushinskiDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Mansi PatelMcMaster University, Hamilton, ON, Canada.
Kamal BaliDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Danielle PetruccelliOrthopaedic Surgery, Hamilton Health Sciences, Hamilton, ON, Canada.
Mitchell WinemakerDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Justin DeBeerDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Leslie GilliesOrthopaedic Surgery, Hamilton Health Sciences, Hamilton, ON, Canada.
Katie BestOrthopaedic Surgery, Hamilton Health Sciences, Hamilton, ON, Canada.
Jennifer FifeOrthopaedic Surgery, Hamilton Health Sciences, Hamilton, ON, Canada.
Thomas J WoodDepartment of Surgery, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSame-day home (SDH) discharge in total joint arthroplasty (TJA) has increased in popularity in recent years. The objective of this study was to evaluate the causes and predictors of failed discharges in planned SDH patients.

methodsA consecutive cohort of patients who underwent total knee (TKA) or total hip arthroplasty (THA) that were scheduled for SDH discharge between 01 April 2019 and 31 March 2021 were retrospectively reviewed. Patient demographics, causes of failed discharge, perioperative variables, 30-day readmissions and 6-month reoperation rates were collected. Multivariate regression analysis was undertaken to identify independent predictors of failed discharge.

resultsThe cohort consisted of 527 consecutive patients. 101 (19%) patients failed SDH discharge. The leading causes were postoperative hypotension (20%) and patients who were ineligible for the SDH pathway (19%). 2 individual surgeons, later operative start time (OR 1.3; 95% CI, 1.15-1.55;

conclusionsHypotension and inappropriate patient selection were the leading causes of failed SDH discharge. Significant variability existed between individual surgeons failed discharge rates. Patients undergoing a THA, classified as ASA IV or had a later operative start time were all more likely to fail SDH discharge.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeCanadaHumansLength of StayPatient DischargePostoperative ComplicationsRetrospective StudiesRisk FactorsFailed dischargesame-day hometotal joint arthroplasty

Identifiers

PMID35848135
PMCPMC10338690

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.