Evidence map›Paper›PMID 39228910›Full record

ArticleArthroplasty today2024

Efficacy and Safety of a Patient Selection Tool for Predicted Discharge at an Ambulatory Surgical Center: A Pilot Study.

Salvador A Forte, Lucas Bartlett, Temisan Osowa, Jed Bondy, Caroline Aprigliano, Peter B White, Jonathan R Danoff

Abstract read
In one paragraph

Article in Arthroplasty today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Salvador A ForteDepartment of Orthopaedic Surgery, North Shore University Hospital, Northwell Health, Manhasset, NY, USA.
Lucas BartlettDepartment of Orthopaedic Surgery, Huntington Hospital, Northwell Health, Huntington, NY, USA.
Temisan OsowaDonald and Barbara Zucker School of Medicine/Hofstra, Hempstead, NY, USA.
Jed BondyLake Erie College of Osteopathic Medicine, Elmira, NY, USA.
Caroline ApriglianoDepartment of Orthopaedic Surgery, North Shore University Hospital, Northwell Health, Manhasset, NY, USA.
Peter B WhiteDepartment of Orthopaedic Surgery, Huntington Hospital, Northwell Health, Huntington, NY, USA.
Jonathan R DanoffDepartment of Orthopaedic Surgery, North Shore University Hospital, Northwell Health, Manhasset, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is a paucity of validated risk stratification tools to assess which patients can safely and predictably undergo outpatient total hip (THA) or knee arthroplasty (TKA) in an ambulatory surgery center (ASC). Methods: Our novel patient selection tool was prospectively applied to 190 consecutive primary THA and TKA performed by a single surgeon at a single ASC. We identified the proportion of patients discharged home the same day, those requiring a one-night stay, or those with failed discharge within 23 hours. A retrospective chart review was performed to determine if any demographic parameters were risk factors for an overnight stay. Results: Overall, 190 (100%) patients selected for outpatient THA and TKA were discharged home within 23 hours. One hundred and four patients (55%) were discharged the same day of surgery, whereas 86 (45%) required overnight stay and were discharged on postoperative day 1. Female sex (odds ratio [OR]: 4.1, 95% confidence interval [CI]: 2.0-8.2, Conclusions: In this pilot study, we found that 100% of outpatient THA and TKA-eligible patients were able to be discharged home by postoperative day 1. Additionally, we found that this selection tool is safe and effective at predicting short-stay discharge in an ASC.

Indexed as

AmbulatoryArthroplastySelectionShort stayToolTotal joint

Identifiers

PMID39228910
PMCPMC11369445

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LicenceCC BY-NC-ND
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Registered trials

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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.