Orthopaedics, rheumatology & podiatry
Stage of development:
Stage of EAA:
Description, patients and keywords:
- Total hip replacement, or total hip arthroplasty (THA), is a widely used procedure that can alleviate pain and disability in people with hip disorders such as osteoarthritis.
- Hospital length of stay for hip replacement has been decreasing, leading to gains in efficiency. Medical practitioners continue to seek ways to further reduce length of stay without increasing adverse effects.
- Same-day discharge involves a multidisciplinary approach using careful patient selection, patient education, improved anesthesia and analgesia, advanced surgical techniques with minimal muscle damage and blood loss, early mobilization and intensive physical therapy, and the active involvement of caregivers at home.A systematic review and seven subsequent studies support the efficacy and safety of same-day THA. They indicate that this approach results in high levels of patient function and satisfaction, as well as decreased health care system costs.
- Studies to date have generally included patients who are younger, thinner, and healthier than the average patient receiving a THA. Evidence in a more representative group of patients would be useful, and at least one such study is now underway.
- Same-day discharge surgery is also being investigated for total knee replacement.