Sleep Apnea is Not an Obstacle for Outpatient Hip and Knee Arthroplasty

Up to 25% of patients requiring hip or knee arthroplasty have sleep apnea (SA), and these patients have historically been excluded from outpatient programs. The objectives of this study were to evaluate same-day discharge failure as well as 30-day complications, readmissions, and unexpected visits....

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Bibliographic Details
Published in:The Journal of arthroplasty 2024-08, Vol.39 (8), p.1982-1987.e1
Main Authors: Hardy, Alexandre, Belzile, Etienne L., Roy, Vincent, Pageau-Bleau, Julien, Tremblay, Félix, Dartus, Julien, Germain, Geneviève, Pelet, Stéphane
Format: Article
Language:English
Subjects:
Aged
ambulatory surgical procedures
Ambulatory Surgical Procedures - adverse effects
arthroplasty
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Body Mass Index
Case-Control Studies
Female
hip
Humans
knee
Male
Middle Aged
outpatient
Patient Discharge - statistics & numerical data
Patient Readmission - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Risk Factors
Sleep Apnea Syndromes
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Summary:Up to 25% of patients requiring hip or knee arthroplasty have sleep apnea (SA), and these patients have historically been excluded from outpatient programs. The objectives of this study were to evaluate same-day discharge failure as well as 30-day complications, readmissions, and unexpected visits. A retrospective case-control study comparing patients who have and do not have SA matched for age, sex and arthroplasty type (total hip arthroplasty, total knee arthroplasty, unicompartimental knee arthroplasty) who underwent primary outpatient surgery between February 2019 and December 2022 in 2 academic hospitals was conducted. Cases with mild SA, moderate SA with a body mass index (BMI)
ISSN:0883-5403
1532-8406
1532-8406
DOI:10.1016/j.arth.2024.02.020