ArticleFrontiers in surgery2025
Risk factors associated with the failure of day surgery for total knee arthroplasty a multivariate logistic regression analysis.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To explore and analyze the risk factors leading to delayed discharge in patients undergoing day surgery for total knee arthroplasty, providing a theoretical basis for optimizing patient selection, targeted interventions, and managing expectations and risks of day surgery patients. Methods: A retrospective analysis of clinical data from patients diagnosed with "knee osteoarthritis" and scheduled for day surgery for total knee arthroplasty at the Department of Orthopedics, Guizhou Provincial People's Hospital from October 2021 to June 2023. Patients were divided into a normal discharge group and a delayed discharge group based on whether their hospital stay exceeded 48 h. Univariate analysis and multivariate logistic regression analysis were used to identify potential risk factors between the two groups. Results: Among the 233 patients scheduled for day surgery for total knee arthroplasty, 82 experienced delayed discharge. Univariate analysis showed that age ( Conclusions: Our study found that disease duration, knee flexion range of motion, glomerular filtration rate, and surgery time are independent risk factors for delayed discharge after day surgery for total knee arthroplasty. Patients with a disease duration of more than 8 years, preoperative flexion range of motion less than 90°, and low estimated glomerular filtration rate may not be suitable for day surgery for total knee arthroplasty. Surgeons should make adequate preoperative preparations and plans, refine surgical skills, and shorten surgery time under the premise of ensuring surgical effects to reduce the risk of postoperative delayed discharge.
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