التفاصيل البيبلوغرافية
| العنوان: |
Outcomes of day case shoulder replacement surgery in a stand-alone day care unit in the United Kingdom. |
| المؤلفون: |
Elgalli, Mosab, Hind, Jamie, Lahart, Ian, Sidhu, Gur Aziz Singh, Athar, Sajjad, Ashwood, Neil |
| المصدر: |
Shoulder & Elbow; Jun2023, Vol. 15 Issue 3, p300-310, 11p |
| مصطلحات موضوعية: |
TOTAL shoulder replacement, AMBULATORY surgery, SURGERY, INPATIENT care, SATISFACTION, ARTHROPLASTY |
| مصطلحات جغرافية: |
UNITED Kingdom |
| مستخلص: |
Background: This review aims to compare the outcomes for day case shoulder replacement with in-patient shoulder replacement surgery in a district general hospital. Methods: Seventy-three patients had 82 shoulder arthroplasty procedures. Forty-six procedures were undertaken in a dedicated stand-alone day-case unit and 36 were undertaken as in-patient cases. Patient were followed up at 6 weeks, 6 months and annually. Results: There was no significant difference between the outcomes of shoulder arthroplasty procedures performed in the day case or in-patient settings making this a safe option for surgical care in a unit with an appropriate care pathway. Six complications in total were observed, three in each group. Operation time was statistically shorter for day cases by 25.1 min (95% CI - 36.5 to −13.7; d = −0.95, 95% CI −1.42 to 0.48). Estimated marginal means (EMM) revealed lower post-surgery oxford pain scores in day cases (EMM = 3.25, 95% CI 2.35, 4.16) compared with inpatients (EMM = 4.65, 95% CI 3.64 to 5.67). Constant shoulder scores were higher in day cases versus inpatients. Conclusion: Day case shoulder replacement is safe with comparable outcomes to routine inpatient care for patients up to ASA 3 classification with high satisfaction and excellent functional outcomes. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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