10.6084/m9.figshare.8791547.v1 Merete N Madsen Merete N Madsen Maria L Kirkegaard Maria L Kirkegaard Malene Laursen Malene Laursen Jens R Larsen Jens R Larsen Merete F Pedersen Merete F Pedersen Birgitte Skovgaard Birgitte Skovgaard Thomas PrynØ Thomas PrynØ Lone R Mikkelsen Lone R Mikkelsen Low complication rate after same-day total hip arthroplasty: a retrospective, single-center cohort study in 116 procedures Taylor & Francis Group 2019 admission 116 procedures Background Low complication rate SD-THA THA posterolateral approach single-center cohort study same-day Danish National Patient Registry ASA hip arthroplasty LOS II 2019-07-05 11:53:49 Journal contribution https://tandf.figshare.com/articles/journal_contribution/Low_complication_rate_after_same-day_total_hip_arthroplasty_a_retrospective_single-center_cohort_study_in_116_procedures/8791547 <p>Background and purpose — Length of hospital stay (LOS) following total hip arthroplasty (THA) has been markedly reduced. Recently, same-day THA (SD-THA) was introduced, and previous studies have indicated satisfactory safety. However, studies are heterogeneous and only a few report results on SD-THA when using a posterolateral surgical approach. Thus, our aim was to evaluate the feasibility of and complications after SD-THA when using a posterolateral approach.</p> <p>Patients and methods — Consecutive patients scheduled for SD-THA between October 2015 and June 2016 were included. Eligibility criteria for SD-THA were: primary THA, motivation for same-day procedure, age > 18 years, ASA I or II, and the presence of a support person who could remain with the patient for 24 hours after surgery. A posterolateral surgical approach was used. Data were collected retrospectively from hospital records and the Danish National Patient Registry. Outcome measures were: complications during admission, LOS, causes of prolonged admission, and prevalence and causes of readmission at 90 days’ follow-up.</p> <p>Results — 102 of 116 (88%) patients scheduled for SD-THA were discharged on the day of surgery. The remaining 14 patients were discharged the following day. Primary causes of prolonged admission were: dizziness/nausea, pain, and wound seepage. 7 patients had an estimated blood loss above 400 mL, but all were discharged as planned. No major complications occurred during admission. At follow-up, 3 patients had been readmitted due to pneumonia, wound infection, and dislocation, respectively.</p> <p>Interpretation — The results indicate that SD-THA performed with a posterolateral approach is feasible and can be performed with a low complication rate in a selected group of patients.</p>