Relative Contribution of Outpatient Arthroplasty Risk Assessment Score Medical Comorbidities to Same-Day Discharge After Primary Total Joint Arthroplasty

Reasons and Risk Factors for Same-Day Discharge Following Total Joint Arthroplasty: A Systematic Review

“…Full texts of these articles were read. Finally, a total of 11 studies were included in this review [ 9 , 12 , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] ] ( Fig. 1 ).…”

“…2022 [ 19 ] Retrospective cohort 527 306 (58.06) 426 (80.83%) 64 THA, TKA No history of OSA, early OR start, no support person at home 7 House et al. 2022 [ 20 ] Retrospective cohort 631 350 (55.5) 581 (92.1%) 58.1 THA, TKA Low OARA score, patient consent 7 Rodriguez et al. 2022 [ 21 ] Retrospective cohort 278 126 (45) 182 (65.5%) 57.1 THA Unilateral primary TKA or simple revisions, age 18 to 75 years, BMI 18.5 to 37.0 kg/m2, not currently using warfarin or enoxaparin, patient agrees and has a responsible adult to spend the night on the day of discharge Case scheduled before 12 pm, no history of active ischemia significant valvular disease or arrhythmia uncontrolled or undiagnosed OSA, opioid dependence or addiction GFR <60 ml/min 8 Shen et al.…”

“…A total of 11 studies [ 9 , 12 , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] ] evaluating 157,045 patients were selected. The mean age of the patients was 62.5 years, and the rate of successful SDD was 12.7%.…”

Predictors of Failure to Achieve Planned Same-Day Discharge after Primary Total Joint Arthroplasty: a Multivariable Analysis of Perioperative Risk Factors

“…23 Preoperative anemia (women ,12 g/dL and men ,14 g/dL serum hemoglobin) and normal preoperative serum sodium (136 to 145 mEq/L) and creatinine (women 0.50 to 1.10 mg/dL and men 0.70 to 1.30 mg/dL) were defined using laboratory test reference ranges. 24 The Outpatient Arthroplasty Risk Assessment (OARA) score cutoff of # 59 points has been previously defined. 18,19,25 1 perioperative predictors in (a) ASC and hospital cases and (b) hospital cases that failed and achieved SDD.…”

“…24 The Outpatient Arthroplasty Risk Assessment (OARA) score cutoff of ≤ 59 points has been previously defined. 18,19,25 PACU opioids were converted to morphine milligram equivalents (MMEs) using the following formula: 0.03 [mg PO tramadol] + 0.57 [mg PO oxycodone] + 0.33 [mg PO hydrocodone] + 6.67 [mg IV hydromorphone] + 0.1 [mcg IV fentanyl] + 1 [mg IV morphine] + 0.13 [mg IV meperidine]. Postoperative complications (Table 2) were retrieved from the EMR for all patients.…”