Close X
Get more out of
by joining the site for free
Free 17-point plan to great health
Twice weekly e-news bulletins
Access to our News, Forums and Blogs
Sign up for free and claim your
17-point plan to great health
Free 17-point plan to great health

Twice weekly e-news bulletins

Access to our News, Forums and Blogs

If you want to read our in-depth research articles or
have our amazing magazine delivered to your home
each month, then you have to pay.

Click here if you're interested
Helping you make better health choices

What Doctors Don't Tell You

In shops now or delivered to your home from only £4.25 an issue!

September 2020 (Vol. 5 Issue 6)

Same-day hospital release after hip op 'dangerous'
About the author: 
Bryan Hubbard

Same-day hospital release after hip op 'dangerous' image

Orthopaedic surgeons can be keen to get the patient out of the hospital even on the same day of total hip or knee replacement surgery—but it's a dangerous practice that doubles the chances of lung or heart complications.

Even staying in the hospital overnight dramatically reduces the risk of serious complications, say researchers from the Weill Medical College at Cornell University.

Patients who leave the hospital the day of the procedure are nearly twice as likely to suffer serious cardiac or pulmonary complications inside the first 30 days, and often within the first few days—and in some cases, the risk was nearly four times greater than it was in those who stayed in the hospital overnight. The risk was slightly higher among patients who had undergone total hip arthroplasty (replacement or rebuilding).

The practice of same-day discharge goes against traditional best practice guidelines but has become increasingly common in the past decade because of financial restraints along with improving surgical procedures and better rehabilitation care.

In 2018, total knee replacement surgery became a same-day procedure, and hip replacement is expected to be similarly recognised by the Centre for Medicare and Medicaid Service (CMS) very soon.

But the practise is not as safe as earlier studies had found. Of the 226,000 knee replacement procedures tracked by the researchers, 3,118 had been sent home the same day, as had 2,600 of the 140,000 patients given a new hip—and they were twice as likely to suffer complications.

With the number of annual knee procedures projected to reach 3.48 million and hip procedures 700,000 in the US by 2030, recognising the dangers of same-day discharge will become imperative, the researchers say.

Get Well Show

Dr Yass is the creator of the Yass Method for diagnosing and treating chronic pain. He'll be speaking both Saturday and Sunday at the Get Well Show.

Book your tickets here


(Source: BMJ Open, 2019; e031260)

You may also be interested in...

Support WDDTY

Help support us to hold the drugs companies, governments and the medical establishment accountable for what they do.


Latest Tweet


Since 1989, WDDTY has provided thousands of resources on how to beat asthma, arthritis, depression and many other chronic conditions..

Start by looking in our fully searchable database, active and friendly community forums and the latest health news.

Positive SSL Wildcard

Facebook Twitter

© 2010 - 2020 WDDTY Publishing Ltd.
All Rights Reserved