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Feasibility, safety, and patient-reported outcomes 90 days after same-day total knee arthroplasty: a matched cohort study.
Acta Orthopaedica ( IF 2.5 ) Pub Date : 2022-06-01 , DOI: 10.2340/17453674.2022.2807
Anne Mette Schmidt 1 , Mette Garval 2 , Kirill Gromov 3 , Carsten Holm 2 , Jens R Larsen 4 , Charlotte Runge 4 , Morten Vase 2 , Lone R Mikkelsen 4 , Louise Mortensen 5 , Søren T Skou 6
Affiliation  

BACKGROUND AND PURPOSE Despite increased attention to and acceptance of fast-track procedures, there is a lack of studies concerning discharge on the day of surgery (DOS) following total knee arthroplasty (SD-TKA). We evaluated the feasibility of SD-TKA, and compared safety and patient-reported outcomes (PROs) between patients undergoing SD-TKA and patients undergoing standard TKA. PATIENTS AND METHODS A SD-TKA group (n = 101) was matched 1:1 to a standard TKA group (n = 101) on age, sex, and ASA score. Feasibility (being discharged on DOS), safety (unplanned contacts and complications evaluated by telephone calls (2 weeks), outpatient visits (2 weeks), and readmission (90 days)) were assessed. Further, Oxford Knee Score (OKS) and Visual Analogue Scale (VAS) (pain at rest and activity) were reported (90 days). RESULTS 89 of 101 SD-TKA patients were discharged on DOS. The number of telephone calls (≤ 83) and outpatient visits (12) were similar in the 2 groups. The number of readmissions was ≤ 3 in both groups, and only 1 of the readmissions was related to TKA surgery. No differences were found at 90-day follow-up in terms of OKS (34 in both groups) or VAS (rest: SD-TKA = 7 and standard TKA = 8; activity: SD-TKA = 17 and standard TKA = 15). INTERPRETATION SD-TKA is feasible in a selected group of patients, and safety and PROs are comparable to patients undergoing standard TKA.

中文翻译:

当天全膝关节置换术后 90 天的可行性、安全性和患者报告结果:一项匹配队列研究。

背景和目的 尽管越来越多的人关注和接受快速手术,但缺乏关于全膝关节置换术 (SD-TKA) 后手术当天出院 (DOS) 的研究。我们评估了 SD-TKA 的可行性,并比较了接受 SD-TKA 的患者和接受标准 TKA 的患者的安全性和患者报告结果 (PRO)。患者和方法 SD-TKA 组 (n = 101) 在年龄、性别和 ASA 评分方面与标准 TKA 组 (n = 101) 1:1 匹配。评估了可行性(通过 DOS 出院)、安全性(通过电话(2 周)、门诊(2 周)和再入院(90 天)评估的计划外接触和并发症)。此外,报告了牛津膝关节评分 (OKS) 和视觉模拟量表 (VAS)(休息和活动时疼痛)(90 天)。结果 101 名 SD-TKA 患者中有 89 名在 DOS 后出院。两组的电话呼叫次数(≤ 83 次)和门诊就诊次数(12 次)相似。两组再入院数均≤ 3 例,其中仅 1 例与 TKA 手术相关。在 90 天的随访中,OKS(两组均为 34 人)或 VAS(休息:SD-TKA = 7 和标准 TKA = 8;活动:SD-TKA = 17 和标准 TKA = 15)没有差异. 解释 SD-TKA 在选定的一组患者中是可行的,安全性和 PROs 与接受标准 TKA 的患者相当。在 90 天的随访中,OKS(两组均为 34 人)或 VAS(休息:SD-TKA = 7 和标准 TKA = 8;活动:SD-TKA = 17 和标准 TKA = 15)没有差异. 解释 SD-TKA 在选定的一组患者中是可行的,安全性和 PROs 与接受标准 TKA 的患者相当。在 90 天的随访中,OKS(两组均为 34 人)或 VAS(休息:SD-TKA = 7 和标准 TKA = 8;活动:SD-TKA = 17 和标准 TKA = 15)没有差异. 解释 SD-TKA 在选定的一组患者中是可行的,安全性和 PROs 与接受标准 TKA 的患者相当。
更新日期:2022-06-01
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