Posters
Academic Level (Author 1)
Medical Student
Discipline/Specialty (Author 1)
Orthopedic Surgery
Academic Level (Author 2)
Medical Student
Academic Level (Author 3)
Medical Student
Academic Level (Author 5)
Faculty
Discipline/Specialty (Author 5)
Population Health
Discipline Track
Clinical Science
Abstract
Introduction: Total joint arthroplasties (TJA), including total elbow arthroplasty (TEA), are growing in number, shifting towards a younger age group, and moving more towards the outpatient setting. We are conducting this study to summarize the current knowledge about the outcomes of TEA in outpatient versus inpatient settings to allow for the best possible care when performing this procedure. We believe that outpatient TEA will have better outcomes with lower complication rates compared to inpatient TEA.
Methods: We conducted a systematic review and meta-analysis using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) framework. Electronic database searches were performed using PubMed, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Register of Controlled Trials (CCTR), and Google Scholar from their dates of establishment to June 2024. All the relevant data was extracted from the studies’ text, figures and tables.
Results: The three eligible studies included a total of 1634 patients, with 1048 being inpatient and 586 being outpatient. There was a significant increase in total (any) complication rate (P = 0.00), adverse discharge (P = 0.01) and surgical site infection (P = 0.04) in the inpatient setting compared to the outpatient setting. There was no significant difference between outpatient and inpatient settings in regard to readmissions (P = 0.35), UTI/renal complications (P = 0.54), pneumonia/respiratory failure (P = 0.19), DVT/pulmonary embolism (P = 0.92), sepsis (P = 0.21), and wound dehiscence (P = 0.34).
Conclusion: Our results reveal that with careful patient selection, current surgical techniques and pain control methods, TEA may be performed in the outpatient setting with less risk of complications and lower financial burden compared to inpatient TEA. Further studies should be performed to strengthen or dispute current literature and increase the power of future systematic reviews and meta-analysis studies.
Presentation Type
Poster
Recommended Citation
Martin, Blake; Gutierrez, Yolanda V.; Nwose, Joshua; Ablove, Robert H.; and Lopez-Alvarenga, Juan, "Systematic Review and Meta-analysis of Total Elbow Arthroplasty in Outpatient Versus Inpatient Settings" (2024). Research Colloquium. 66.
https://scholarworks.utrgv.edu/colloquium/2024/posters/66
Included in
Systematic Review and Meta-analysis of Total Elbow Arthroplasty in Outpatient Versus Inpatient Settings
Introduction: Total joint arthroplasties (TJA), including total elbow arthroplasty (TEA), are growing in number, shifting towards a younger age group, and moving more towards the outpatient setting. We are conducting this study to summarize the current knowledge about the outcomes of TEA in outpatient versus inpatient settings to allow for the best possible care when performing this procedure. We believe that outpatient TEA will have better outcomes with lower complication rates compared to inpatient TEA.
Methods: We conducted a systematic review and meta-analysis using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) framework. Electronic database searches were performed using PubMed, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Register of Controlled Trials (CCTR), and Google Scholar from their dates of establishment to June 2024. All the relevant data was extracted from the studies’ text, figures and tables.
Results: The three eligible studies included a total of 1634 patients, with 1048 being inpatient and 586 being outpatient. There was a significant increase in total (any) complication rate (P = 0.00), adverse discharge (P = 0.01) and surgical site infection (P = 0.04) in the inpatient setting compared to the outpatient setting. There was no significant difference between outpatient and inpatient settings in regard to readmissions (P = 0.35), UTI/renal complications (P = 0.54), pneumonia/respiratory failure (P = 0.19), DVT/pulmonary embolism (P = 0.92), sepsis (P = 0.21), and wound dehiscence (P = 0.34).
Conclusion: Our results reveal that with careful patient selection, current surgical techniques and pain control methods, TEA may be performed in the outpatient setting with less risk of complications and lower financial burden compared to inpatient TEA. Further studies should be performed to strengthen or dispute current literature and increase the power of future systematic reviews and meta-analysis studies.