A Literature-Based Resource for the Development of Outpatient Arthroplasty Patient Selection Criteria

Authors

  • Joseph Gondusky Jordan-Young Institute
  • Richard Pahapill Eastern Virginia Medical School
  • Christian Coulson Eastern Virginia Medical School

DOI:

https://doi.org/10.15438/rr.11.1.280

Keywords:

Total joint arthroplasty, outpatient arthroplasty, same day discharge, selection criteria, patient optimization

Abstract

Total joint arthroplasty (TJA) is moving towards the outpatient setting. Teams must develop patient selection criteria to ensure appropriate candidates are treated at the optimal site of care.  Protocols and recommendations have been developed to aid care teams in developing patient selection criteria, but these come from multiple disparate sources.  We review the available literature on patient selection criteria and optimization in the outpatient TJA population, and synthesize this information into a workable format for care design.  We hope to provide a resource to stakeholders that can be tailored to their unique outpatient facility. 

 

Keywords: Total joint arthroplasty, outpatient, same day discharge, selection criteria, patient optimization.

Author Biographies

Joseph Gondusky, Jordan-Young Institute

Orthopedic Surgeon

Dr.

MD

Richard Pahapill, Eastern Virginia Medical School

Medical Student

Christian Coulson, Eastern Virginia Medical School

Medical Student

References

Fraser JF, Danoff JR, Manrique J, Reynolds MJ, Hozack WJ. Identifying Reasons for Failed Same-Day Discharge Following Primary Total Hip Arthroplasty. J Arthroplasty. Dec 2018;33(12):3624-3628. doi:10.1016/j.arth.2018.08.003

Goyal N, Chen AF, Padgett SE, et al. Otto Aufranc Award: A Multicenter, Randomized Study of Outpatient versus Inpatient Total Hip Arthroplasty. Clin Orthop Relat Res. Feb 2017;475(2):364-372. doi:10.1007/s11999-016-4915-z

Weiser MC, Kim KY, Anoushiravani AA, Iorio R, Davidovitch RI. Outpatient Total Hip Arthroplasty Has Minimal Short-Term Complications With the Use of Institutional Protocols. J Arthroplasty. Nov 2018;33(11):3502-3507. doi:10.1016/j.arth.2018.07.015

Toy PC, Fournier MN, Throckmorton TW, Mihalko WM. Low Rates of Adverse Events Following Ambulatory Outpatient Total Hip Arthroplasty at a Free-Standing Surgery Center. J Arthroplasty. Jan 2018;33(1):46-50. doi:10.1016/j.arth.2017.08.026

Richards M, Alyousif H, Kim JK, Poitras S, Penning J, Beaule PE. An Evaluation of the Safety and Effectiveness of Total Hip Arthroplasty as an Outpatient Procedure: A Matched-Cohort Analysis. J Arthroplasty. Oct 2018;33(10):3206-3210. doi:10.1016/j.arth.2018.05.036

Klingenstein GG, Schoifet SD, Jain RK, Reid JJ, Porat MD, Otegbeye MK. Rapid Discharge to Home After Total Knee Arthroplasty Is Safe in Eligible Medicare Patients. J Arthroplasty. Nov 2017;32(11):3308-3313. doi:10.1016/j.arth.2017.06.034

Kim KY, Feng JE, Anoushiravani AA, Dranoff E, Davidovitch RI, Schwarzkopf R. Rapid Discharge in Total Hip Arthroplasty: Utility of the Outpatient Arthroplasty Risk Assessment Tool in Predicting Same-Day and Next-Day Discharge. J Arthroplasty. Aug 2018;33(8):2412-2416. doi:10.1016/j.arth.2018.03.025

Meneghini RM, Ziemba-Davis M, Ishmael MK, Kuzma AL, Caccavallo P. Safe Selection of Outpatient Joint Arthroplasty Patients With Medical Risk Stratification: the "Outpatient Arthroplasty Risk Assessment Score". J Arthroplasty. Aug 2017;32(8):2325-2331. doi:10.1016/j.arth.2017.03.004

Slover J. Same Day Total Joint Arthroplasty: How do I get Started? Lecture Presented At: Joint Arthroplasty Mountain Meeting; February 2020; Park City, UT

Kingery MT, Cuff GE, Hutzler LH, Popovic J, Davidovitch RI, Bosco JA. Total Joint Arthroplasty in Ambulatory Surgery Centers: Analysis of Disqualifying Conditions and the Frequency at Which They Occur. J Arthroplasty. Jan 2018;33(1):6-9. doi:10.1016/j.arth.2017.07.048

O'Neill O. Developing a Commercial Bundle. Twin Cities Orthopedics; 2016.

NYU Langone Medical Center's TJA BPCI Experience: Lessons in How to Maximize Value. Healthcare. Slideshare.net. November 16, 2016. Accessed February 8, 2021. https://www.slideshare.net/wellbeme/nyu-langone-medical-centers-tja-bpci-experience-lessons-in-how-to-maximize-value

Featherall J, Brigati DP, Arney AN, et al. Effects of a Total Knee Arthroplasty Care Pathway on Cost, Quality, and Patient Experience: Toward Measuring the Triple Aim. J Arthroplasty. Nov 2019;34(11):2561-2568. doi:10.1016/j.arth.2019.06.011

Bernstein DN, Liu TC, Winegar AL, et al. Evaluation of a Preoperative Optimization Protocol for Primary Hip and Knee Arthroplasty Patients. J Arthroplasty. Dec 2018;33(12):3642-3648. doi:10.1016/j.arth.2018.08.018

Backstein D, Thiagarajah S, Halawi MJ, Mont MA. Outpatient Total Knee Arthroplasty-The New Reality and How Can It Be Achieved? J Arthroplasty. Dec 2018;33(12):3595-3598. doi:10.1016/j.arth.2018.09.042

Kim KY, Anoushiravani AA, Chen KK, et al. Perioperative Orthopedic Surgical Home: Optimizing Total Joint Arthroplasty Candidates and Preventing Readmission. J Arthroplasty. Jul 2019;34(7s):S91-s96. doi:10.1016/j.arth.2019.01.020

Yu S, Garvin KL, Healy WL, Pellegrini VD, Jr., Iorio R. Preventing Hospital Readmissions and Limiting the Complications Associated With Total Joint Arthroplasty. J Am Acad Orthop Surg. Nov 2015;23(11):e60-71. doi:10.5435/jaaos-d-15-00044

Boraiah S, Joo L, Inneh IA, et al. Management of Modifiable Risk Factors Prior to Primary Hip and Knee Arthroplasty: A Readmission Risk Assessment Tool. J Bone Joint Surg Am. Dec 2 2015;97(23):1921-8. doi:10.2106/jbjs.n.01196

DeCook CA. Outpatient Joint Arthroplasty: Transitioning to the Ambulatory Surgery Center. J Arthroplasty. Jul 2019;34(7s):S48-s50. doi:10.1016/j.arth.2019.01.006

Urban MK, Markowitz SM, Gordon MA, Urquhart BL, Kligfield P. Postoperative prophylactic administration of beta-adrenergic blockers in patients at risk for myocardial ischemia. Anesth Analg. Jun 2000;90(6):1257-61. doi:10.1097/00000539-200006000-00001

Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. Oct 27 2007;370(9597):1508-19. doi:10.1016/s0140-6736(07)60457-7

Bumpass DB, Nunley RM. Assessing the value of a total joint replacement. Curr Rev Musculoskelet Med. Dec 2012;5(4):274-82. doi:10.1007/s12178-012-9139-6

Additional Files

Published

2021-10-12

How to Cite

Gondusky, J., Pahapill, R., & Coulson, C. (2021). A Literature-Based Resource for the Development of Outpatient Arthroplasty Patient Selection Criteria . Reconstructive Review, 11(1). https://doi.org/10.15438/rr.11.1.280

Issue

Section

Review

Most read articles by the same author(s)