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Related Experiment Video

Updated: Dec 27, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Emergency Department Utilization After Elective Hip Arthroscopy.

Lakshmanan Sivasundaram1, Nikunj N Trivedi1, Chang-Yeon Kim1

  • 1University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|February 29, 2020
PubMed
Summary
This summary is machine-generated.

Emergency department visits after hip arthroscopy are infrequent. Postoperative pain is the most common reason, with female sex and insurance status being key risk factors for these visits.

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research

Background:

  • Hip arthroscopy is an increasingly common procedure.
  • Understanding post-operative outcomes, including emergency department (ED) utilization, is crucial for patient care and resource allocation.

Purpose of the Study:

  • To identify the most frequent reasons for emergency department (ED) presentation following hip arthroscopy.
  • To determine preoperative risk factors associated with these ED visits.

Main Methods:

  • Retrospective analysis of discharge records from New York and Florida for patients undergoing elective hip arthroscopy.
  • Evaluation of 7-, 30-, and 90-day all-cause ED utilization rates.
  • Bivariate and multivariate analyses to identify predictors of ED visits.

Main Results:

  • The overall rate of postoperative ED visits was 6.6% at 90 days.
  • Postoperative pain was the leading cause for ED visits (20.3% at 90 days), followed by gastrointestinal and neurologic complaints.
  • Female sex, Medicare, and Medicaid insurance were identified as independent risk factors for 90-day ED utilization.

Conclusions:

  • Emergency department visits after elective hip arthroscopy are uncommon.
  • Postoperative pain, gastrointestinal, and neurologic issues are the primary drivers of ED visits.
  • Female sex and insurance status are significant risk factors for postoperative ED utilization.