Evidence map›Paper›PMID 38805083›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Time from surgery end to discharge following total knee arthroplasty: implications for same day discharge.

Maveric Abella, Vera Ong, Krystin Wong, Samantha N Andrews, Cass K Nakasone

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Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Maveric AbellaJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Vera OngJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Krystin WongJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Samantha N AndrewsStraub Medical Center, Bone and Joint Center, 888 South King Street Honolulu, Honolulu, HI, 96818, USA.
Cass K NakasoneStraub Medical Center, Bone and Joint Center, 888 South King Street Honolulu, Honolulu, HI, 96818, USA. onohunter@icloud.com.ORCID http://orcid.org/0000-0003-0424-8401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the average time from surgery to discharge is important to successfully and strategically schedule cases planned for same day discharge (SDD) for total knee arthroplasty (TKA). The purpose of this study was to (1) evaluate the average time to discharge following unilateral TKA performed in a community hospital and (2) describe patient characteristics and peri-operative factors that may impact SDD.

methodsThis retrospective review included 75 patients having achieved SDD following unilateral TKA between March 2017 and September 2021 at a high-volume multi-specialty community hospital. Time to discharge was calculated from end of surgery, defined as completion of dressing application, to physical discharge from the hospital. Time surgery completed and association with time of discharge was also examined. Pearson's correlations were performed to evaluate the relationship between total time to discharge and patient demographics.

resultsThe average age for all patients was 66.6 ± 10.9 years (Range: 38 to 86) and average BMI of 29.9 ± 5.6 kg/m

conclusionAn average of six hours was required to achieve SDD following unilateral TKA performed in a community hospital. The time required for SDD was not found to be related to intrinsic patient factors but more likely due to extrinsic factors associated with time of scheduled surgery. To improve success of SDD, focus should be placed on the development of efficient discharge pathways rather than unchangeable intrinsic patient characteristics.

Indexed as

Arthroplasty, Replacement, KneePatient DischargeAdultAgedAged, 80 and overAmbulatory Surgical ProceduresFemaleHospitals, CommunityHumansLength of StayMaleMiddle AgedRetrospective StudiesTime FactorsOutpatient surgeryRapid dischargeSame day dischargeTotal knee arthroplasty

Identifiers

PMID38805083

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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.