Neufeld Eric V, Geffken Shawn J, Bartlett Lucas E, Klein Brandon J, Tharakan Shebin, Cohn Randy M
Department of Orthopaedic Surgery, Northwell Health, New Hyde Park, NY, USA.
New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Hip Pelvis. 2025 Jun 1;37(2):156-163. doi: 10.5371/hp.2025.37.2.156.
Hip arthroscopy is commonly performed on an outpatient basis; however, many are still performed in hospital operating rooms (HOR) over ambulatory surgery centers (ASC). Therefore, this study aimed to compare patient demographics and complications between hip arthroscopies performed in HOR and ASC.
This was a retrospective cohort study (level III evidence) of 832 patients who underwent hip arthroscopy between 2014-2022 at a multi-hospital academic health system. Nine hundred four hip arthroscopies were performed, 72 of which were staged bilateral. Demographics, procedure details, and complications were recorded from the electronic medical record. Clinical environments were compared by using chi-squared tests with adjusted residuals (ARs), Welch's -tests, and binary logistic regression.
Eight hundred eighty-one cases were performed in HOR while 23 cases were conducted at ASC. Patients with at least one medical comorbidity (91.4% vs. 65.2%, AR=4.3) or who required 3 or more suture anchors (31.7% vs. 4.3%, AR=2.8) were more likely to undergo surgery in HOR. Femoroplasty (87.0% vs. 57.8%, AR=-2.8) and capsular repair (69.6% vs. 47.6%, AR=-2.1) had increased likelihood of being performed at ASC. There were no differences found in returns to the operating room or readmissions. Postoperative emergency department (ED) visits were more common in patients treated at HORs (3.0% vs. 0.0%, AR=-2.7).
ASCs and HORs both provided safe operating environments. ED visits were higher in patients treated at HORs during the 90-day postoperative period, often due to their comorbidities rather than as a direct sequela from surgery.
髋关节镜检查通常在门诊进行；然而，许多手术仍在医院手术室（HOR）而非门诊手术中心（ASC）进行。因此，本研究旨在比较在HOR和ASC进行髋关节镜检查的患者人口统计学特征和并发症情况。
这是一项回顾性队列研究（III级证据），研究对象为2014年至2022年在一个多医院学术医疗系统接受髋关节镜检查的832例患者。共进行了904例髋关节镜检查，其中72例为分期双侧手术。从电子病历中记录人口统计学特征、手术细节和并发症情况。通过使用带有校正残差（AR）的卡方检验、韦尔奇t检验和二元逻辑回归对临床环境进行比较。
881例手术在HOR进行，23例在ASC进行。至少有一种内科合并症的患者（91.4%对65.2%，AR = 4.3）或需要3个或更多缝合锚钉的患者（31.7%对4.3%，AR = 2.8）更有可能在HOR接受手术。股骨成形术（87.0%对57.8%，AR = -2.8）和关节囊修复术（69.6%对47.6%，AR = -2.1）在ASC进行的可能性增加。在返回手术室或再次入院方面未发现差异。术后急诊就诊在HOR治疗的患者中更为常见（3.0%对0.0%，AR = -2.7）。
ASC和HOR都提供了安全的手术环境。术后90天内，HOR治疗的患者急诊就诊率较高，这通常是由于他们的合并症，而非手术的直接后遗症。
