The Arthritis Institute at Good Samaritan Hospital, Los Angeles, CA 90017, USA.
J Arthroplasty. 2010 Jun;25(4):501-6. doi: 10.1016/j.arth.2009.06.005. Epub 2009 Jul 28.
Patients younger than 65 years were studied to determine what percentage of patients would enroll in a study of outpatient total hip arthroplasty, its safety, and benefits of the program. Of 192 eligible patients, 69 (36%) enrolled, and 53 (77%) of these went home the same day of surgery. Of 53, 44 maintained a diary for the first 3, weeks and 52 completed a satisfaction questionnaire at 6 weeks. Patients were followed for 6 months for occurrence of complications. There were no medical readmissions. Of 52 patients who completed a 6 week questionnaire, 50 (96%) were satisfied with the decision to have outpatient total hip arthroplasty. There were no objective physical benefits identified. This study reports the distribution of acceptance and completion of same day discharge for patients with total hip arthroplasty in a metropolitan population. It confirms safety in selected patients.
本研究旨在调查 65 岁以下患者对门诊全髋关节置换术研究的参与率、安全性和获益，共纳入 192 名符合条件的患者，其中 69 名（36%）患者入组，其中 53 名（77%）患者于术后当日出院。在这 53 名患者中，44 名患者在术后前 3 周记录日记，52 名患者在术后 6 周完成满意度问卷。患者在术后 6 个月内随访并发症的发生情况。无患者因医疗原因再次入院。在完成 6 周问卷的 52 名患者中，50 名（96%）对行门诊全髋关节置换术的决定表示满意。本研究并未发现任何客观的身体获益。本研究报告了在城市人群中全髋关节置换术患者接受和完成当日出院的分布情况，证实了该术式在特定患者中的安全性。
