Same-day discharge for total joint arthroplasty is safe and cost-effective when utilizing a team-based approach in appropriately selected patients.
Supports same-day TJA discharge in selected patients; leaves open need for RCTs to confirm generalizability.
Same-day-discharge total joint arthroplasty is becoming increasingly feasible because of advances in anesthesia, physical therapy, surgical techniques, and perioperative protocols. In appropriately selected patient populations, same-day-discharge total joint arthroplasty is safe, does not increase readmission rates, and is cost-effective. As the push for value-driven health care continues and the incidence of total joint arthroplasty continues to grow, same-day-discharge arthroplasty will likely become more prevalent and increasingly incentivized. A team-based approach to each phase of care is vital for effective and safe same-day-discharge total joint arthroplasty.
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Chen et al. (2020) studied this question.
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