Preoperative factors related to delayed discharge after total knee arthroplasty removal from inpatient-only list
Introduction: The Centers for Medicare & Medicaid Services removed total knee arthroplasty (TKA) from the inpatient-only list effective January 2018. Our institution interpretation led to scheduling all TKAs as outpatient (23-hour observation) without workflow modifications. The purpose of this study was to examine the preoperative factors associated with delayed discharge following this policy change among a non-selected cohort, as published data in this area are lacking.
Methods: TKA patients admitted between January 01, 2018 and August 01, 2018 were retrospectively analyzed. Patients were stratified into two groups based on hospital night stay: ≤1 night (non-delayed discharge) or >1 night (delayed discharge). Preoperative factors associated with delayed discharge were examined using 2-tailed t -tests for continuous data, and Pearson’s chi-square or Fischer exact tests for categorical data. All analyses were conducted on SPSS (IBM, version 23.0).
Results:We identified 447 TKA patients: 279 (62.4%) had non-delayed discharge and 168 (37.6%) had delayed discharge. Delayed discharge patients were more likely to be older (mean =71.5 (8.0) vs. 69.9 (8.6) years, p =0.033), female (76.8% vs. 55.6%, p
Conclusion: Among a non-selected sample of outpatient TKAs, factors associated with delayed discharge included age, female sex, hypertension, and COPD. The influence of social support warrants further investigation.
14th Annual BHSF Research Conference
Suarez, Juan Carlos; Paraliticci, Giovanni; Arguelles, William; and Rivera, Priscilla, "Preoperative factors related to delayed discharge after total knee arthroplasty removal from inpatient-only list" (2019). All Publications. 3297.