Key result
Advanced age, female gender, comorbidities, and obesity were consistently identified as preoperative factors associated with an increased likelihood of non-home discharge following total knee arthroplasty.
Why the study?
To investigate preoperative factors associated with non-home discharges from acute care hospitals in patients undergoing total knee arthroplasty for osteoarthritis.
What preoperative factors are associated with non-home discharges following total knee arthroplasty for osteoarthritis?
What preoperative factors are associated with non-home discharges following total knee arthroplasty for osteoarthritis?
Preoperative factors such as advanced age, female gender, comorbidities, and obesity are associated with non-home discharge following total knee arthroplasty, aiding in discharge planning and efficient use of medical resources.
Supports targeted preoperative counseling and resource allocation for TKA discharge planning; extends observational evidence for predictive modeling.
This study aimed to investigate preoperative factors associated with non-home discharges from acute care hospitals in patients undergoing total knee arthroplasty (TKA) due to osteoarthritis. It was a scoping review focused on patients who received their first unilateral TKA for osteoarthritis. The research targeted observational studies that examined the destinations of patients post-surgery based on preoperative factors, with a literature search conducted in April 2023. Out of 3,255 identified papers, 28 met the eligibility criteria. A total of 26 preoperative factors were identified as potentially related to discharge destinations, including age, gender, comorbidities, and obesity. By selecting an appropriate discharge destination based on preoperative factors, there may be potential for more efficient use of medical resources. Future studies should consider preoperative factors in the context of national healthcare systems and lengths of hospital stay.
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Nasu et al. (2024) conducted a review in Osteoarthritis of the knee requiring total knee arthroplasty. Preoperative factors (age, gender, comorbidities, obesity) was evaluated on Non-home discharge destinations (e.g., rehabilitation hospitals or skilled nursing facilities). Advanced age, female gender, comorbidities, and obesity were consistently identified as preoperative factors associated with an increased likelihood of non-home discharge following total knee arthroplasty.
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