Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter?
Purpose: With health-care utilization becoming an important factor in patient care, we investigated the effect that surgical day of week has on length of hospital stay (LOS) for shoulder arthroplasty patients. Methods: All patients undergoing primary anatomic or reverse total shoulder arthroplasty b...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-02-01
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| Series: | Journal of Shoulder and Elbow Arthroplasty |
| Online Access: | https://doi.org/10.1177/2471549219832151 |
| _version_ | 1818305157514919936 |
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| author | Jeffrey D Osborne MD Christopher J Bush MD Denise M Koueiter MS J Michael Wiater MD |
| author_facet | Jeffrey D Osborne MD Christopher J Bush MD Denise M Koueiter MS J Michael Wiater MD |
| author_sort | Jeffrey D Osborne MD |
| collection | DOAJ |
| description | Purpose: With health-care utilization becoming an important factor in patient care, we investigated the effect that surgical day of week has on length of hospital stay (LOS) for shoulder arthroplasty patients. Methods: All patients undergoing primary anatomic or reverse total shoulder arthroplasty by a single surgeon on Monday, Wednesday, or Friday over a 10-year period were retrospectively reviewed. A total of 1784 patients met inclusion criteria. Demographics, LOS, and discharge disposition were recorded for all study participants. Results: The overall average LOS was 2.9 ± 1.8 days and was significantly longer for patients having surgery Friday (3.0 ± 1.9 days) versus Wednesday (2.7 ± 1.7 days, P = .002). For those discharged home, the mean LOS was 2.6 ± 1.3 days versus 4.3 ± 3.3 days for those discharged to extended care facilities (ECFs). Patients discharged to ECF with Friday surgery had a significantly longer LOS than Monday ( P = .028) and Wednesday ( P = .010) patients, with 30% of patients with Friday surgery being discharged postoperative day 4 versus 14% and 9% on Monday and Wednesday, respectively. LOS trended toward being longer for Friday surgery in the home disposition group but did not reach significance. Discussion: These results should be considered during surgical scheduling in order to minimize health-care expenditures. Patients at high risk for requiring ECF at discharge should be scheduled at the beginning of the week, while more resources are available to expedite their discharge. |
| first_indexed | 2024-12-13T06:22:08Z |
| format | Article |
| id | doaj.art-950c5833233848bc9bd82da23292e001 |
| institution | Directory Open Access Journal |
| issn | 2471-5492 |
| language | English |
| last_indexed | 2024-12-13T06:22:08Z |
| publishDate | 2019-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Shoulder and Elbow Arthroplasty |
| spelling | doaj.art-950c5833233848bc9bd82da23292e0012022-12-21T23:56:49ZengSAGE PublishingJournal of Shoulder and Elbow Arthroplasty2471-54922019-02-01310.1177/2471549219832151Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter?Jeffrey D Osborne MDChristopher J Bush MDDenise M Koueiter MSJ Michael Wiater MDPurpose: With health-care utilization becoming an important factor in patient care, we investigated the effect that surgical day of week has on length of hospital stay (LOS) for shoulder arthroplasty patients. Methods: All patients undergoing primary anatomic or reverse total shoulder arthroplasty by a single surgeon on Monday, Wednesday, or Friday over a 10-year period were retrospectively reviewed. A total of 1784 patients met inclusion criteria. Demographics, LOS, and discharge disposition were recorded for all study participants. Results: The overall average LOS was 2.9 ± 1.8 days and was significantly longer for patients having surgery Friday (3.0 ± 1.9 days) versus Wednesday (2.7 ± 1.7 days, P = .002). For those discharged home, the mean LOS was 2.6 ± 1.3 days versus 4.3 ± 3.3 days for those discharged to extended care facilities (ECFs). Patients discharged to ECF with Friday surgery had a significantly longer LOS than Monday ( P = .028) and Wednesday ( P = .010) patients, with 30% of patients with Friday surgery being discharged postoperative day 4 versus 14% and 9% on Monday and Wednesday, respectively. LOS trended toward being longer for Friday surgery in the home disposition group but did not reach significance. Discussion: These results should be considered during surgical scheduling in order to minimize health-care expenditures. Patients at high risk for requiring ECF at discharge should be scheduled at the beginning of the week, while more resources are available to expedite their discharge.https://doi.org/10.1177/2471549219832151 |
| spellingShingle | Jeffrey D Osborne MD Christopher J Bush MD Denise M Koueiter MS J Michael Wiater MD Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? Journal of Shoulder and Elbow Arthroplasty |
| title | Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? |
| title_full | Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? |
| title_fullStr | Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? |
| title_full_unstemmed | Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? |
| title_short | Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter? |
| title_sort | length of stay in total shoulder arthroplasty does day of surgery matter |
| url | https://doi.org/10.1177/2471549219832151 |
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