Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study - Scorecard - MDSpire
Clinical Scorecard: Feasibility Study on the Introduction and Initial Outcomes of Same-Day Hip and Knee Replacement Surgery in a Public Hospital Lacking Prior Experience
At a Glance
Category
Detail
Condition
Hip and Knee Replacement Surgery
Key Mechanisms
Enhanced recovery protocols, multimodal analgesia, early mobilization
Target Population
Patients eligible for same-day surgery (SDS) for hip and knee replacements
Care Setting
Public hospital with an ambulatory surgery department
Key Highlights
95% of eligible patients integrated into the SDS pathway
Achieved a success rate of 21% among all patients
Implementation faced challenges due to lack of prior SDS experience
SDS pathway aimed to reduce cancellations of elective surgeries
Patient satisfaction measured using a 10-point Likert Scale
Guideline-Based Recommendations
Diagnosis
Assessment of eligibility for SDS based on clinical criteria
Management
Utilization of fast-track principles including multimodal analgesia and early mobilization
Monitoring & Follow-up
Follow-up on patient-reported outcomes and satisfaction within 90 days post-surgery
Risks
Potential challenges in leadership, resource allocation, and integration into clinical practice
Patient & Prescribing Data
Patients undergoing planned hip and knee replacement surgeries
Routine morphine administration and adductor blockade following total knee replacement
Clinical Best Practices
Adherence to enhanced recovery protocols
Direct admission to ambulatory surgery for planned SDS procedures
Dual training for nursing staff in operating and postoperative care
by Christoffer C. Jørgensen, Thor-Magnus Sveen, Brita Johansen, Marlene Sander, Christian Steen-Hansen, Mikkel S. Sundstrup, Christian Rothe, Kai HW. Lange
