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Root KT, Hones KM, Hao KA, Brolin TJ, Wright JO, King JJ, Wright TW, Schoch BS. A Systematic Review of Patient Selection Criteria for Outpatient Total Shoulder Arthroplasty. Orthop Clin North Am 2024; 55:363-381. [PMID: 38782508 DOI: 10.1016/j.ocl.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
The utilization of total shoulder arthroplasty (TSA) is increasing, driving associated annual health care costs higher. Opting for outpatient over inpatient TSA may provide a solution by reducing costs. However, there is no single set of accepted patient selection criteria for outpatient TSA. Here, the authors identify and systematically review 14 articles to propose evidence-based criteria that merit postoperative admission. Together, the studies suggest that patients with limited ability to abmluate independently or a history of congestive heart failure may benefit from postoperative at least one night of hospital based monitoring and treatment.
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Affiliation(s)
- Kevin T Root
- College of Medicine, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, USA
| | - Keegan M Hones
- Department of Orthopaedics and Sports Medicine, University of Florida, 3450 Hull Road # 3341, Gainesville, FL 32607, USA
| | - Kevin A Hao
- College of Medicine, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, USA
| | - Tyler J Brolin
- Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, 1211 Union Avenue # 500, Memphis, TN 38104, USA
| | - Jonathan O Wright
- Department of Orthopaedics and Sports Medicine, University of Florida, 3450 Hull Road # 3341, Gainesville, FL 32607, USA
| | - Joseph J King
- Department of Orthopaedics and Sports Medicine, University of Florida, 3450 Hull Road # 3341, Gainesville, FL 32607, USA
| | - Thomas W Wright
- Department of Orthopaedics and Sports Medicine, University of Florida, 3450 Hull Road # 3341, Gainesville, FL 32607, USA
| | - Bradley S Schoch
- Department of Orthopedic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
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Trudeau MT, Peters JJ, LeVasseur MR, Hawthorne BC, Dorsey CG, Wellington IJ, Shea KP, Mazzocca AD. Inpatient Versus Outpatient Shoulder Arthroplasty Outcomes: A Propensity Score Matched Risk-Adjusted Analysis Demonstrates the Safety of Outpatient Shoulder Arthroplasty. J ISAKOS 2022; 7:51-55. [DOI: 10.1016/j.jisako.2022.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 01/11/2022] [Indexed: 10/19/2022]
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