Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center.
Publication/Presentation Date
2-1-2024
Abstract
BACKGROUND: Total joint arthroplasty (TJA) performed in the ambulatory surgical center (ASC) has been shown to be safe and cost-effective for an expanding cohort of patients. As criteria for TJA in the ASC become less restrictive, data guiding the efficient use of ASC resources are crucial.
PURPOSE: We sought to identify factors associated with length of stay in the recovery room after primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) performed in the ASC.
METHODS: We conducted a retrospective review of 411 patients who underwent primary THA or TKA at our institution's ASC between November 2020 and March 2022. We collected patient demographics, perioperative factors, success of same-day discharge (SDD), and length of time in the recovery room.
RESULTS: Of 411 patients, 100% had successful SDD. The average length of time spent in recovery was 207 minutes (SD: 73.9 minutes). Predictors of longer time in recovery were increased age, male sex, and operative start time before 9:59 am. Body mass index, preoperative opioid use, Charlson Comorbidity Index, type of surgery (THA vs TKA), urinary retention risk, and type of anesthesia (spinal vs general) were not significant predictors of length of time in the recovery room.
CONCLUSION: In this retrospective study, factors associated with increased length of time in the recovery room included older age, male sex, and operative start time before 9:59 am. Such factors may guide surgeons in determining the optimal order of cases for each day at the ASC, but further prospective studies should seek to confirm these observations.
Volume
20
Issue
1
First Page
63
Last Page
68
ISSN
1556-3316
Published In/Presented At
Schultz, M. J., Thalody, H. S., Lutz, R. W., Cheesman, Q. T., Ong, A. C., Post, Z. D., & Ponzio, D. Y. (2024). Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center. HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 20(1), 63–68. https://doi.org/10.1177/15563316231208977
Disciplines
Medicine and Health Sciences
PubMedID
38356749
Department(s)
Department of Surgery
Document Type
Article