Outpatient vs. inpatient hip arthroplasty: A matched case-control study on a 90-day complication rate and 2-year patient-reported outcomes
Journal of Orthopaedic Surgery and Research Sep 03, 2020
Rosinsky PJ, Chen SL, Yelton MJ, et al. - A matched case-control study on a 90-day complication rate and 2-year patient-reported outcomes was conducted to present outpatients hip arthroplasty with inpatient hip arthroplasty. Between July 2014 and April 2016, researchers examined the American Hip Institute registry for patients undergoing THA. Researchers selected and matched the first 100 patients undergoing outpatient total hip arthroplasty (oTHA) with 100 patients undergoing inpatient total hip arthroplasty (iTHA) via propensity matching based on the following variables: age, gender, body mass index, Charlson comorbidity index, and smoking status. patient-reported outcomes (PROs) at 2 years post-operatively were the primary endpoints. The perioperative surgical variables, 90-day complication rates, and unplanned emergency and clinic visits were considered as secondary endpoints. Ninety-one individuals remained in each group and were compared after exclusions. The data revealed that oTHA can achieve improved postoperative 2-year PROs compared to the iTHA inappropriately selected, younger patients. No variations were noted regarding postoperative short-term complications or 2-year revision rates, and no differences in unplanned office visits or readmissions.
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