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· DOS Abstracts
Feasibility and Safety of Same-Day Total Hip Arthro-
plasty – A Retrospective, Single-Center Observational
Study in 116 Patients
Maria Lange Kirkegaard, Merete Nørgaard Madsen, Malene Laursen, Jens Ro-
lighed Larsen, Merete Frydenlund Pedersen, Birgitte Skovgaard, Lone Ramer
Mikkelsen
Elective Surgery Centre, Silkeborg Regional Hospital
Background:
Length of hospital stay (LoS) following Total Hip Arthroplasty
(THA) has been markedly reduced and same-day THA was recently introduced.
So far, satisfactory safety and patient reported outcomes have been reported
from this innovative procedure but a larger cohort is needed to provide data
that may establish safety and feasibility.
Purpose / Aim of Study:
The aim of the current investigation was to evaluate
feasibility and safety of same-day THA in a selected Danish population.
Materials and Methods:
Consecutive patients scheduled for same-day THA
between Oct 2015 - Jun 2016 were included. Inclusion criteria were primary
THA, motivation for a same-day procedure, age >18 years, ASA I or II, and the
presence of a support person who remain with the patient 24 hr after surgery.
Data were collected retrospectively from local hospital records. Outcome mea-
sures were; complications during admission, discharge readiness (before 9 PM),
length of hospital stay, causes of delayed discharge, prevalence of readmission
and mortality at 90-day follow-up.
Findings / Results:
From 669 elective THA patients, 116 subjects were sched-
uled for same-day THA. 102 of 116 (88 %) were discharged according to plan
with a median LoS of 10 hr. Median LoS for patients with delayed discharge was
25 hr. The primary causes of delayed discharge in 14/116 patients (12%) were:
dizziness (nausea), pain and wound seepage. No hip dislocation, fracture, or any
other serious complications occurred during admission. In 7 patients (6%), peri-
operative blood loss was above 400 ml, but all were discharged as planned.
At follow- up, two patients (1.7%) had been readmitted due to infection and
dislocation, respectively. In 114 patients (98 %) there were no readmissions
and no fatalities.
Conclusions:
The results indicate that same-day THA is feasible and safe in a
selected group of patients.
No conflicts of interest reported
72.