No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020
Background and purpose: Day-case hip and knee arthroplasty has gained in popularity, but there are conflicting results regarding readmissions. We aimed to investigate differences in 30- and 90-day readmission rates between day-case patients and patients with a single overnight stay following primar...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-10-01
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| Series: | Acta Orthopaedica |
| Subjects: | |
| Online Access: | https://actaorthop.org/actao/article/view/18658 |
| _version_ | 1827794023626047488 |
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| author | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov |
| author_facet | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov |
| author_sort | Christian Bredgaard Jensen |
| collection | DOAJ |
| description |
Background and purpose: Day-case hip and knee arthroplasty has gained in popularity, but there are conflicting results regarding readmissions. We aimed to investigate differences in 30- and 90-day readmission rates between day-case patients and patients with a single overnight stay following primary total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA).
Patients and methods: We identified day-case (DC) and overnight (ON) THA, TKA, and UKA patients, operated on between 2010 and 2020, from the Danish National Patient Register. Day-case surgery was defined as discharge on the day of surgery. Overnight readmissions within 30 or 90 days of surgery were considered readmissions. We compared readmission rates between DC and ON patients within arthroplasty types using logistic regression adjusted for patient characteristics and year of surgery. We included 29,486 THAs (1,353 DC and 28,133 ON), 15,116 TKAs (617 DC and 14,499 ON), and 6,440 UKAs (1,528 DC and 4,914 ON).
Results: The 30-day readmission rates were: DC-THA 4.4% vs. ON-THA 4.4% (adjusted odds-ratio [aOR] 1.2, 95% confidence interval [CI] 0.91–1.6), DC-TKA 4.7% vs. ON-TKA 4.4% (aOR 1.1, CI 0.69–1.5), and DC-UKA 3.0% vs. ON-UKA 3.0% (aOR 1.1, CI 0.78–1.5). Similarly, no significant differences were present between DC and ON THA, TKA, and UKA regarding 90-day readmissions or time to readmission.
Conclusion: We found no differences in readmission rates between day-case THA, TKA, and UKA patients and patients with a single overnight stay.
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| first_indexed | 2024-03-11T18:27:51Z |
| format | Article |
| id | doaj.art-589d3b12524748c0a479d2874389b982 |
| institution | Directory Open Access Journal |
| issn | 1745-3674 1745-3682 |
| language | English |
| last_indexed | 2024-03-11T18:27:51Z |
| publishDate | 2023-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj.art-589d3b12524748c0a479d2874389b9822023-10-13T14:42:12ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822023-10-019410.2340/17453674.2023.18658No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020Christian Bredgaard Jensen0Anders Troelsen1Nicolai Bang Foss2Christian Skovgaard Nielsen3Martin Lindberg-Larsen4Kirill Gromov5Department of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Anesthesiology, Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Orthopaedic Research Unit (ORU), Odense University Hospital, Odense, DenmarkDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, Hvidovre Background and purpose: Day-case hip and knee arthroplasty has gained in popularity, but there are conflicting results regarding readmissions. We aimed to investigate differences in 30- and 90-day readmission rates between day-case patients and patients with a single overnight stay following primary total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA). Patients and methods: We identified day-case (DC) and overnight (ON) THA, TKA, and UKA patients, operated on between 2010 and 2020, from the Danish National Patient Register. Day-case surgery was defined as discharge on the day of surgery. Overnight readmissions within 30 or 90 days of surgery were considered readmissions. We compared readmission rates between DC and ON patients within arthroplasty types using logistic regression adjusted for patient characteristics and year of surgery. We included 29,486 THAs (1,353 DC and 28,133 ON), 15,116 TKAs (617 DC and 14,499 ON), and 6,440 UKAs (1,528 DC and 4,914 ON). Results: The 30-day readmission rates were: DC-THA 4.4% vs. ON-THA 4.4% (adjusted odds-ratio [aOR] 1.2, 95% confidence interval [CI] 0.91–1.6), DC-TKA 4.7% vs. ON-TKA 4.4% (aOR 1.1, CI 0.69–1.5), and DC-UKA 3.0% vs. ON-UKA 3.0% (aOR 1.1, CI 0.78–1.5). Similarly, no significant differences were present between DC and ON THA, TKA, and UKA regarding 90-day readmissions or time to readmission. Conclusion: We found no differences in readmission rates between day-case THA, TKA, and UKA patients and patients with a single overnight stay. https://actaorthop.org/actao/article/view/18658Arthroplasty Day-caseHipKneeOutpatientReadmission |
| spellingShingle | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 Acta Orthopaedica Arthroplasty Day-case Hip Knee Outpatient Readmission |
| title | No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 |
| title_full | No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 |
| title_fullStr | No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 |
| title_full_unstemmed | No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 |
| title_short | No difference in short-term readmissions following day-case vs. one overnight stay in patients having hip and knee arthroplasty: a nationwide register study of 51,042 procedures from 2010–2020 |
| title_sort | no difference in short term readmissions following day case vs one overnight stay in patients having hip and knee arthroplasty a nationwide register study of 51 042 procedures from 2010 2020 |
| topic | Arthroplasty Day-case Hip Knee Outpatient Readmission |
| url | https://actaorthop.org/actao/article/view/18658 |
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