NDLI: Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis

Content Provider	Springer Nature : BioMed Central
Author	Bordoni, Vittorio Poggi, Alberto Zaffagnini, Stefano Previtali, Davide Filardo, Giuseppe Candrian, Christian
Abstract	Background Careful pre- and post-operative management can allow surgeons to perform outpatient TKA, making this a more affordable procedure. The aim of the present meta-analysis is to compare outpatient and inpatient TKA. Methods A systematic search of the literature was performed in July 2020 on PubMed, Web of Science, Cochrane library, and on the grey literature databases. The papers collected were used for a meta-analysis comparing outpatient and inpatient TKA in terms of complication and readmission rates. Risk of bias and quality of evidence were defined according to Cochrane guidelines. Results The literature search resulted in 4107 articles; of these, 8 articles were used for the meta-analysis. A total of 212,632 patients were included, 6607 of whom were TKA outpatients. The overall complication rate for outpatient TKAs was 16.1%, while inpatient TKAs had an overall lower complication rate of 10.5% (p = 0.003). The readmission rate was 4.9% in outpatient TKAs and 5.9% in inpatient TKAs. Only 3 studies reported the number of deaths, which accounted for 0%. The included studies presented a moderate risk of bias, and according to GRADE guidelines, the level of evidence for complications and readmissions was very low. Conclusions This meta-analysis documented that outpatient TKA led to an increased number of complications although there were no differences in the number of readmissions. However, future high-level studies are needed to confirm results and indications for the outpatient approach, since the studies currently available have a moderate risk of bias and a very low quality of evidence.
Related Links	https://josr-online.biomedcentral.com/counter/pdf/10.1186/s13018-020-01925-x.pdf
Ending Page	7
Page Count	7
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s13018-020-01925-x
Journal	Journal of Orthopaedic Surgery and Research
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2020-09-14
Access Restriction	Open
Subject Keyword	Orthopedics Surgical Orthopedics Total knee arthroplasty TKA Outpatient Complications
Content Type	Text
Resource Type	Article
Subject	Surgery Orthopedics and Sports Medicine
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

The effects of total knee arthroplasty on knee proprioception of patients with knee osteoarthritis: a meta-analysis

A meta-analysis of unicompartmental knee arthroplasty revised to total knee arthroplasty versus primary total knee arthroplasty

Comparison of tourniquet application only during cementation and long-duration tourniquet application in total knee arthroplasty: a meta-analysis

Is fibrin sealant effective and safe in total knee arthroplasty? A meta-analysis of randomized trials

Improvement of sleep quality 6 months after total knee arthroplasty: a systematic review and meta-analysis

Primary posterior stabilized total knee arthroplasty: analysis of different instrumentation

The effects of a tourniquet used in total knee arthroplasty: a meta-analysis

The efficacy of synovectomy for total knee arthroplasty: a meta-analysis

Efficacy of steroid addition to multimodal cocktail periarticular injection in total knee arthroplasty: a meta-analysis

Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis

Similar Documents

The effects of total knee arthroplasty on knee proprioception of patients with knee osteoarthritis: a meta-analysis

A meta-analysis of unicompartmental knee arthroplasty revised to total knee arthroplasty versus primary total knee arthroplasty

Comparison of tourniquet application only during cementation and long-duration tourniquet application in total knee arthroplasty: a meta-analysis

Is fibrin sealant effective and safe in total knee arthroplasty? A meta-analysis of randomized trials

Improvement of sleep quality 6 months after total knee arthroplasty: a systematic review and meta-analysis

Primary posterior stabilized total knee arthroplasty: analysis of different instrumentation

The effects of a tourniquet used in total knee arthroplasty: a meta-analysis

The efficacy of synovectomy for total knee arthroplasty: a meta-analysis

Efficacy of steroid addition to multimodal cocktail periarticular injection in total knee arthroplasty: a meta-analysis

Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis