A study published in the January issue of The Journal of Arthroplasty suggests that patient selection is an important factor for maintaining patient safety for TJA performed in an ambulatory surgery center (ASC). 

The authors reviewed charts of 3,444 TJA patients and assigned ASC eligibility based on American Society of Anesthesiologists (ASA) status, exclusion criteria, and existing comorbidities. They found that 70.3 percent of all patients were eligible for TJA performed in an ASC. Among ASA class 3 patients who did not meet any exclusion criteria but had systemic disease, the researchers deemed 53.69 percent ASC-eligible due to sufficiently low severity of comorbidities. The most frequent reasons for ineligibility were body mass index >40 kg/m 2, severity of comorbidities, and untreated obstructive sleep apnea. Learn more...

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