The Real Risk Factors for Failed Same-Day Discharge in TJA

Exploring the Outpatient Arthroplasty Risk Assessment (OARA) score to identify which factors actually necessitate an overnight hospital stay.

Enhancement of primary total joint arthroplasty (TJA) clinical and surgical protocols, cost containment and value-based healthcare initiatives, removal of total hip and knee arthroplasty from Medicare’s Inpatient-Only list, and the COVID-19 pandemic have coalesced to promote and expand the rapid growth of outpatient TJA. Identification of patients who can safely undergo outpatient TJA remains a top priority for which conclusive evidence has yet to be definitively established.