Russell Linda A
Department of Medicine, Hospital for Special Surgery, New York City, NY, USA.
HSS J. 2024 Feb;20(1):22-28. doi: 10.1177/15563316231212880. Epub 2023 Dec 7.
Given that the number of total joint arthroplasties (TJAs) performed worldwide is expected to continue to increase, and there are significant costs associated with these procedures, selecting candidates for same-day or 23-hour discharge is important in lowering costs and providing greater access. Younger, healthier patients are excellent candidates for same-day discharge after TJA. Preoperative medical assessment can help exclude patients who may not be candidates, such as patients with 1 or more comorbidities that increase the risk of intra- and postoperative complications and who may require a longer period of monitoring.
鉴于全球范围内全关节置换术（TJA）的实施数量预计将持续增加，且这些手术伴有高昂费用，选择当日或23小时出院的患者对于降低成本和扩大就医机会至关重要。较年轻、健康状况较好的患者是TJA术后当日出院的理想人选。术前医学评估有助于排除可能不符合条件的患者，例如患有1种或多种合并症且增加术中和术后并发症风险、可能需要更长监测期的患者。
