Team Approach: Same-Day Discharge of Patients Undergoing Total Joint Arthroplasty.

JBJS Rev · Jun 2020 · Review

Crawford AM, Chen AF, Sabeti A, Jay JF, Shah VM

1Departments of Orthopaedic Surgery (A.M.C, A.F.C, and V.M.S.), Massachusetts

Adult Reconstruction

SUMMARY — THE REDUCTIONA team-based, protocol-driven approach makes same-day discharge total joint arthroplasty safe, cost-effective, and increasingly common in well-selected patients.
Abstract, as published

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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