Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Same day total joint arthroplasty (TJA) is a hot topic as the volume of TJA rises globally and healthcare resources become more and more limited. Furthermore, advancements in surgical technique have made rapid recovery more realistic. Thus, there has been a push towards outpatient TJA in recent years. An important consideration in the feasibility of outpatient TJA is choosing the appropriate setting for it. Thus, in this study, the authors randomized same day TJA patients to stay at an ambulatory outpatient surgical centre or at a standard hospital arthroplasty ward . Randomizing 50 patients, the authors found no significant differences between the two groups in terms of successful same-day discharge, although there was a trend towards greater success in the group staying at the outpatient surgery centre. Specifically, while all THA patients were discharged home successfully regardless of location, TKA patients were significantly more likely to be discharged home if they were at the ambulatory surgical centre compared to the inpatient ward. Overall, it appears that an ambulatory surgical centre is not only safe for same day surgery, but may in fact improve its likelihood of success.