Outcomes of Same-Day Discharge After Total Hip Arthroplasty in the Medicare Population |
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| Affiliation: | 1. Institute of Orthopedic Research and Education, Houston, TX;2. Department of Orthopaedic Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX;3. Joseph Barnhart Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX;1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio;2. Department of Orthopedic Surgery, All-Indian Institute of Medical Sciences, New Delhi, India;3. Department of Orthopedic Surgery, Cleveland Clinic Florida, Weston, Florida;1. Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan;2. Department of Rehabilitation, Kansai University of Welfare and Sciences, Kashiwara, Osaka, Japan;1. Department of Orthopaedic Surgery, Nissan Tamagawa Hospital, Tokyo, Japan;2. Department of Orthopaedic Surgery, Hokusuikai Kinen Hospital, Ibaraki, Japan;1. Department of Orthopaedics, University of North Carolina Hospitals, Chapel Hill, NC;2. Department of Orthopaedics, Medical University of South Carolina, Charleston, SC;3. Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH;4. Department of Orthopaedics, Harvard-Beth Israel Deaconess Medical Center, Boston, MA |
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| Abstract: | ![]()
BackgroundThere is an increasing utilization of same-day discharge total hip arthroplasty (SDD THA). As the Center for Medicare and Medicaid Services considers removing THA from the inpatient-only list, there is likely to be a significant increase in the number of Medicare patients undergoing SDD THA. Thus, there is a need to report on outcomes of SDD THA in this population.MethodsA retrospective review was performed on 850 consecutive SDD THA patients including 161 Medicare patients. We compared failure to launch, complication, emergency department visit, and 90-day readmission rates between the Medicare and non-Medicare cohorts.ResultsThe Medicare group was older and had less variability in their admission diagnosis. There was no significant difference in failure to launch, complication, emergency department visit, or 90-day readmission rates between Medicare and non-Medicare groups.ConclusionThe benefits of SDD THA can be safely extended to the carefully indicated and motivated Medicare patient. |
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| Keywords: | total hip arthroplasty total hip replacement same-day discharge same-day surgery medicare |
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