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Patient selection criteria for outpatient joint arthroplasty
Nanne P Kort1, Yoeri F L Bemelmans2, P Hugo M van der Kuy3
1Department of Orthopaedic Surgery, Zuyderland Medical Centre, Dr. H v.d. Hoffplein 1, 6162 BG, Sittard-Geleen, The Netherlands. n.kort@nannekort.eu.
Summary
Selecting appropriate patients for outpatient joint arthroplasty (OJA) is key to preventing complications. Eligible candidates are typically younger, healthier, and have home support, while those with significant comorbidities should be excluded.
Area of Science:
- Orthopedic Surgery
- Patient Management
Background:
- Patient selection criteria for outpatient joint arthroplasty (OJA) lack general consensus.
- Clear criteria are essential to prevent prolonged hospital stays, adverse events, and readmissions.
Purpose of the Study:
- To highlight patient selection criteria for OJA based on current literature and expert opinion.
Main Methods:
- A comprehensive literature search of electronic healthcare databases was conducted.
- A survey of physicians from various specialties was also performed.
Main Results:
- Fourteen studies on outpatient hip and/or knee arthroplasty showed similar outcomes in preselected patients.
- Eligible patients are generally younger (<75), have low ASA classification (
- Exclusion criteria include high ASA classification (>II), severe comorbidities (cardiac, pulmonary), uncontrolled diabetes, high BMI, and cognitive impairments.
Conclusions:
- The presented criteria provide a foundation for OJA patient selection.
- Implementing these criteria, alongside a multidisciplinary approach and protocols, can enhance patient safety in daily practice.
