The Impact of Advanced Age on the Outcomes of Primary Total Hip and Knee Arthroplasty for Osteoarthritis

JBJS Reviews ◽  
2018 ◽  
Vol 6 (2) ◽  
pp. e6-e6 ◽  
Author(s):  
Benjamin P.d’S. Murphy ◽  
Michelle M. Dowsey ◽  
Peter F.M. Choong
Keyword(s):  
Knee Arthroplasty ◽  
Advanced Age ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

The Impact of Preoperative Education on Patients Undergoing Elective Total Hip and Knee Arthroplasty

2020 ◽  
Vol 39 (4) ◽  
pp. 218-224
Author(s):  
Julie L. Giardina ◽  
Katrina Embrey ◽  
Kathy Morris ◽  
Helen M. Taggart
Keyword(s):  
Knee Arthroplasty ◽  
Preoperative Education ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

scholarly journals The Impact of Hepatitis C and Liver Disease on Risk of Complications After Total Hip and Knee Arthroplasty: Analysis of Administrative Data From Louisiana and Texas

2021 ◽  
Vol 7 ◽  
pp. 200-207
Author(s):  
Brett Salomon ◽  
Peter C. Krause ◽  
Vinod Dasa ◽  
Lizheng Shi ◽  
Deryk Jones ◽  
...  
Keyword(s):  
Liver Disease ◽  
Hepatitis C ◽  
Administrative Data ◽  
Knee Arthroplasty ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

The impact of medicare reimbursement policies on simultaneous bilateral total hip and knee arthroplasty

2003 ◽  
Vol 18 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Craig J. Della Valle ◽  
Jeremy Idjadi ◽  
Rudi N. Hiebert ◽  
William L. Jaffe
Keyword(s):  
Knee Arthroplasty ◽  
Medicare Reimbursement ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

scholarly journals Quantifying the Backlog of Total Hip and Knee Arthroplasty Cases: Predicting the Impact of COVID-19

2020 ◽  
Vol 16 (S1) ◽  
pp. 85-91
Author(s):  
Jacob M. Wilson ◽  
Andrew M. Schwartz ◽  
Kevin X. Farley ◽  
James R. Roberson ◽  
Thomas L. Bradbury ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

Predictors of Successful Early Discharge for Total Hip and Knee Arthroplasty in Octogenarians

2021 ◽  
pp. 155633162110306
Author(s):  
Andrew B. Kay ◽  
Danielle Y. Ponzio ◽  
Courtney D. Bell ◽  
Fabio Orozco ◽  
Zachary D. Post ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Early Discharge ◽  
Readmission Rates ◽  
Patients Âgés ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
Student’S T ◽  
American Society ◽  
American Society Of Anesthesiologists

Background: Decreased length of stay after total joint arthroplasty (TJA) is becoming a more common way to contain healthcare costs and increase patient satisfaction. There is little evidence to support “early” discharge in elderly patients. Purpose: We sought to identify preoperative factors that correlated with early discharge (by postoperative day [POD] 1) in comparison to late discharge (after POD2) in octogenarians after TJA. Methods: In a retrospective cohort study from a single institution, we identified 482 patients ages 80 to 89 who underwent primary TJA from January 2014 to December 2017; 319 had total knee arthroplasty (TKA) and 163 had total hip arthroplasty (THA). Data collected included preoperative knee range of motion (ROM), demographics, and comorbidities; 90-day readmission and mortality rates were also evaluated. P values for continuous data were calculated using student’s t test and for categorical data using χ2 testing. Results: Of octogenarian patients, 30.9% were discharged by POD1. Early discharge was associated with being male, married, and nonsmoking, as well as having an American Society of Anesthesiologists (ASA) score of 2, independent preoperative ambulation, and a postoperative caregiver. Type of procedure (TKA vs THA), body mass index, laterality, preoperative range of motion (ROM) for TKA, and single vs multilevel home did not affect the probability of early discharge. Discharge on POD1 was not associated with increased 90-day readmission rates. There were no deaths. Conclusion: Early discharge for octogenarians can be successfully implemented in a select subset of patients without increasing 90-day readmission or death rates. There are multiple factors that predict successful early discharge.

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