ArticleActa orthopaedica2024
Implementation of outpatient hip and knee arthroplasty in a multicenter public healthcare setting.
Article in Acta orthopaedica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- When do patients resume driving after fast-track hip and knee arthroplasty: a cohort study of 408 patients.Acta orthopaedica · 2026Article
- Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study.Archives of orthopaedic and trauma surgery · 2026Article
- Article
- Can virtual consultations replace physical visits before knee arthroplasty? : a retrospective cohort study.Bone & joint open · 2026Article
- Feasibility of a prospective multicenter observational study-is diabetes a risk factor in ERAS joint arthroplasty?Pilot and feasibility studies · 2025Article
- Willingness to repeat discharge on day of surgery after hip and knee arthroplasty.Bone & joint open · 2025Article
- Anesthesia and Analgesia Methods in Primary Total Hip Arthroplasty and Primary Total Knee Arthroplasty-A Survey of Nordic Anesthesiologists.Acta anaesthesiologica Scandinavica · 2025Article
- Postoperative challenges addressed through nursing care of patients receiving lower extremity tumor prosthesis.BMC nursing · 2024Article
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
background and purposeLength of hospital stay after hip and knee arthroplasty is about 1 day in Denmark with few patients discharged on the day of surgery. Hence, a protocol for multicenter implementation of discharge on day of surgery has been instituted. We aimed to describe the implementation of outpatient hip and knee arthroplasty in a multicenter public healthcare setting.
methodsWe performed a prospective multicenter study from 7 public hospitals across Denmark. Patients were screened using well-defined in- and exclusion criteria and were discharged on day of surgery when fulfilling functional discharge criteria. The study period was from September 2022 to February 2023 with variable start of implementation. Data from the same centers in a 6-month period before the COVID pandemic from July 2019 to December 2019 was used for baseline control.
resultsOf 2,756 primary hip and knee arthroplasties, 37% (95% confidence interval [CI] 35-39) were eligible (range 21-50% in centers) and 52% (range 24-62%) of these were discharged on day of surgery. 21% (CI 20-23) of all patients (eligible and non-eligible) were discharged on day of surgery with a range of 10-31% within centers. This was an additional 15% (CI 13-17, P < 0.001) compared with patients discharged in the control period (6% in 2019).
conclusionWe found it possible to perform outpatient hip and knee replacement in 21% of patients in a public healthcare setting, probably to be increased with further center experience.
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