Even Patients Living Alone Can Recover Safely at Home after TJA
Despite higher costs, many surgeons recommend – and some patients prefer – recovery at an in-patient rehabilitation facility following total hip arthroplasty (THA) or total knee arthroplasty (TKA).
But research presented at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons reports that even patients who live alone can recover effectively and safely at home.
“In the past, most surgeons have been reticent to discharge patients directly home after joint replacement surgery if they live by themselves, instead, opting for such patients to enter a rehab facility,” said lead author William J. Hozack, MD, an orthopaedic surgeon at The Rothman Institute and professor of orthopaedic surgery at the Sidney Kimmel Medical College at Thomas Jefferson University.
“However, we found that patients living alone were able to safely recover without any increase in the rate of complications. Even more strikingly, patients were generally happy and content being in the comfort of their own home during recovery.”
The study involved 769 patients undergoing primary THA or TKA. Of these, 138 patients lived alone and 631 lived with other people. Patients age 75 and older were well represented in both groups.
The patients who lived alone – especially older patients – were more likely to stay an additional night in the hospital prior to discharge and utilize more home health services. Limited support without weekly visits was reported by 37.2% of patients living alone, although nearly 80% had a friend or relative living within 15 miles who could provide help if needed.
Among the results of the study:
- There was no increase in complications or unplanned clinical events for patients living alone compared with those living with other people (10.9% of patients living alone had complications, compared with 9.5% of those recovering at home with support).
- There were no significant differences in functional outcomes following surgery or in reported pain.
- Patient satisfaction scores were equivalent in both sets of patients after 90 days.
- The cost savings for patients who recovered at home was estimated at $10,776 per patient, or nearly $1.5 million total.
Given the cost savings of in-home recovery; the emotional benefits of patients recovering in familiar surroundings; and no measurable difference in pain, complications or functional outcomes, “we believe home discharge is appropriate for the vast majority of patients undergoing joint replacement, including the nearly 20% of patients living on their own,” Dr. Hozack said.
Fleischman A, Austin M, Purtill JJ, Parvizi J, Hozack WJ. Even if you live alone, there is no place like home after total joint arthroplasty. Presented at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons, March 14-18, 2017, in San Diego, California.