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Team Approach: Same-Day Discharge of Patients Undergoing Total Joint Arthroplasty
Alexander M Crawford1, Antonia F Chen, Amirmehdi Sabeti
11Departments of Orthopaedic Surgery (A.M.C., A.F.C., and V.M.S.), Anesthesiology (A.S.), and Physical Therapy (J.F.J.), Brigham Health, Boston, Massachusetts.
Abstract:
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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