What are the differences in procedure between inpatient en outpatient hip arthroplasty?
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Inpatient hip arthroplasty typically involves an overnight stay in the hospital, while outpatient hip arthroplasty allows patients to be discharged on the same day as the surgery. Studies comparing the two approaches have shown that inpatient procedures are associated with higher rates of readmission, especially for hip-related reasons, compared to outpatient procedures . Additionally, outpatient hip arthroplasty has been found to be a cost-saving procedure compared to inpatient hip arthroplasty from both health care payer and societal perspectives . The decision to conduct inpatient hip arthroplasty should prioritize consideration of patient comorbidities over the type of procedure, as complications after inpatient hip arthroscopy appear to be more related to comorbidities rather than procedure-related factors .
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| Papers (5) | Insight |
|---|---|
| Outpatient hip arthroplasty is 29% less costly than inpatient, with implant costs being the highest expense. Outpatient procedures show 30% cost reduction compared to inpatient for total knee arthroplasty. | |
2 Citations | Outpatient total hip arthroplasty shows comparable early complication rates to inpatient procedures, with lower fall risks and readmissions in the outpatient setting. No significant differences in complications were reported. |
| Not addressed in the paper. | |
| Outpatient hip arthroplasty involves same-day discharge, while inpatient requires an overnight stay. Outpatient THA showed cost savings compared to inpatient THA in the study. | |
2 Citations | Outpatient hip arthroplasty presents fewer complications, readmissions, and reoperations at 30 and 90 days compared to inpatient procedures, with similar outcomes for selected patients. |
Related Questions
What are the benefits of choosing outpatient hip arthroplasty over inpatient procedures?5 answersOutpatient hip arthroplasty offers several benefits over inpatient procedures. Studies show that outpatient THA can lead to cost savings from both healthcare payer and societal perspectives, making it a potentially more economical option compared to inpatient THA. Additionally, outpatient THA allows for expanded patient selection, with comparable or even better outcomes in terms of total complications, readmissions, and reoperations at 30 and 90 days when compared to inpatient procedures for selected patients. Furthermore, outpatient THA does not compromise 30-day outcomes, demonstrating equivalent optimization of modifiable risk factors and similar rates of readmissions and reoperations post-IPO removal. Proper patient selection and preoperative optimization are crucial to minimize postoperative complications, making outpatient hip arthroplasty a safe and potentially cost-effective option for suitable candidates.
What are the advantages of outpatient hip arthroplasty?4 answersOutpatient hip arthroplasty offers several advantages, including safety, cost-effectiveness, faster rehabilitation, improved patient satisfaction, and reduced reliance on hospital resources. Studies have shown that outpatient procedures can be performed safely with outcomes comparable to inpatient surgeries, emphasizing the importance of careful patient selection, detailed education, and strong social support. Enhanced recovery after surgery (ERAS) interventions combined with outpatient programs have been found to reduce adverse events, lower complication rates, decrease opioid consumption, enable faster functional recovery, and enhance patient satisfaction. Implementing ERAS-outpatient protocols can further improve patient outcomes, maintain safety, and modernize total hip arthroplasty perioperative pathways.
Is there a split between inpatient and outpatient use of parenteral nutrition in the US?5 answersThere is a notable split between inpatient and outpatient use of parenteral nutrition (PN) in the US. In the inpatient setting, PN is commonly utilized for various indications such as postsurgical complications, inflammatory bowel disease, oncology, critical care, and end-stage renal disease. Studies have shown that there is a significant variability in PN utilization among children's hospitals, with high utilization hospitals initiating PN earlier compared to low utilization hospitals. Compounded PN is the most commonly used in clinical practice, followed by multichamber bags with additions, in the US. PN is a crucial life-saving intervention for patients where oral or enteral nutrition is not feasible, and it is associated with metabolic and infectious complications that require careful monitoring and management. Overall, PN is a high-risk therapy that is extensively used in inpatient settings, emphasizing the importance of appropriate indications and monitoring protocols.
Which rehabilitation program is the best? inpatient outpatient or residential?3 answersOutpatient pulmonary rehabilitation (PR) has been shown to be effective in reducing rehospitalizations and mortality in patients with pulmonary diseases, including COPD. For post-acute traumatic brain injury (TBI) rehabilitation, outpatient services have advantages such as improved access to vocational and educational opportunities, recruitment of qualified clinicians, and access to media for public relations and advocacy. In the case of cardiac rehabilitation (CR) following myocardial infarction (MI), outpatient CR has been associated with improved prognosis compared to inpatient programs. In the management of chronic respiratory diseases, both inpatient and outpatient PR have been used, with studies showing an absence of differences or in favor of inpatient PR for certain outcomes. For patients with severe forms of congenital heart disease, individualized outpatient cardiorespiratory rehabilitation programs have shown improvements in quality of life. Overall, the choice of rehabilitation program depends on the specific condition and individual needs of the patient.
What are the challenges in handling outpatients?4 answersThe challenges in handling outpatients include the need for a professional approach in dealing with patients and their families. This can be particularly difficult when healthcare workers face ethical dilemmas or find themselves in situations where they have to make difficult decisions. Another challenge is the pressure to provide high-quality care at a lower cost, which has led to a shift from inpatient to outpatient settings. This change requires innovative approaches to organizing outpatient care and improving training for healthcare professionals. Additionally, there is a need for clear objectives and structured systems of care to ensure accountability and improve the existing system of outpatient care.
What are the challenges in outpatient care?5 answersChallenges in outpatient care include limited data on primary care and care planning for patients with Long/Post-COVID syndrome, difficulties in obtaining required therapy due to patients feeling "not sick enough" or a lack of specialist consultants, rising out-of-pocket expenditures for outpatient care in rural Vietnam, particularly for visits to higher level government hospitals and private hospitals, the need to identify unwarranted variation in care and improve outpatient services in the English NHS, slow implementation and low participation in ambulatory medical specialist care (ASV) in Germany, particularly for rare diseases, and the need to evaluate the safety and efficacy of outpatient care models for patients with acute myeloid leukemia following intensive induction chemotherapy.