http://www.bjj.boneandjoint.org.uk/content/95-B/11_Supple_A/74.abstract

Intensive care monitoring after total joint replacement

1. A. F. Kamath, MD, Attending Surgeon1;
2. C. L. McAuliffe, BS, Candidate for Doctor of Medicine2;
3. J. T. Gutsche, MD, Assistant Professor; Medical Director Intensive Care Unit Presbyterian Hospital3;
4. L. M. Kosseim, MD, Associate Professor4;
5. E. L. Hume, MD, Attending Surgeon;
6. K. D. Baldwin, MD, MSPT, MPH, Attending Surgeon1;
7. Z. Kornfield, MD, Resident3; and
8. C. L. Israelite, MD, Attending Surgeon1

+ Author Affiliations

1. 1University of Pennsylvania, Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.
2. 2University of Pennsylvania, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
3. 3University of Pennsylvania, Department of Anesthesia and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
4. 4University of Pennsylvania, Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

1. Correspondence should be sent to A. F. Kamath; e-mail:akamath@post.harvard.edu

Abstract

Patient safety is a critical issue in elective total joint replacement surgery. Identifying risk factors that might predict complications and intensive care unit (ICU) admission proves instrumental in reducing morbidity and mortality. The institution’s experience with risk stratification and pre-operative ICU triage has resulted in a reduction in unplanned ICU admissions and post-operative complications after total hip replacement. The application of the prediction tools to total knee replacement has proven less robust so far. This work also reviews areas for future research in patient safety and cost containment.

Cite this article: Bone Joint J 2013;95-B, Supple A:74–6.

Footnotes

• No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
  This paper is based on a study which was presented at the 29th Annual Winter 2012 Current Concepts in Joint Replacement® meeting held in Orlando, Florida, 12th – 15th December.

• Received September 7, 2013.
• Accepted September 8, 2013.

• ©2013 The British Editorial Society of Bone & Joint Surgery