Browsing by Subject "Discharge"

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    Creating a Resource to Ease Spinal Cord Injury Patient’s Transition from Hospital to Home: A Doctoral Capstone Report
    (2025-05-03) Butcher, Madison; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; DeRolf, Annie
    Preparing a spinal cord injury (SCI) patient for discharge to home after their injury, is not an easy task for the healthcare team. The patient and their partners must learn how to manage aspects of care such as protecting the skin from pressure ulcers, transferring to different surfaces, catheterizing the bladder, managing a bowel program, and preventing complications like Autonomic Dysreflexia. The therapists at an inpatient rehabilitation facility in Ohio identified a gap in administering educational resources in a way that addresses all these needs. The capstone student created a patient manual that acts as a step-by-step guide for the topics previously listed. The goal of the manual was to provide a visual representation of skills to patients and care partners to aid in a successful transition from the hospital to home.
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    Safety of Same and Next Day Discharge Following Revision Hip and Knee Arthroplasty Using Modern Perioperative Protocols
    (Elsevier, 2020-07-29) Buller, Leonard T.; Hubbard, Trey; Ziemba-Davis, Mary; Deckard, Evan R.; Meneghini, R. Michael; Orthopaedic Surgery, School of Medicine
    Introduction: Advances in perioperative care have enabled early discharge and outpatient primary total joint arthroplasty (TJA). However, the safety of early discharge after revision TJA (rTJA) remains unknown and the COVID-19 pandemic will force decreased hospitalization. This study compared 90-day outcomes in patients undergoing aseptic rTJA discharged the same or next day (early) to those discharged two or three days postoperatively (later). Methods: 530 aseptic rTJAs performed at a single tertiary referral center (12/5/2011-12/30/2019) were identified. Early and later discharge patients were matched as closely as possible on procedure type, sex, ASA-PS classification, age, and BMI. All patients were optimized using modern perioperative protocols. The rate of 90-day ED visits and hospital admissions was compared between groups. Results: 183 early discharge rTJAs (54 hips, 129 knees) in 178 patients were matched to 183 later discharge rTJAs (71 hips, 112 knees) in 165 patients. 62% of the sample was female, with an overall average age and BMI of 63±9.9 (range: 18-92) years and 32±6.9 (range: 18-58) kg/m2. There was no statistical difference in 90-day ED visit rates between early (6/178, 3.4%) and later (11/165, 6.7%) discharge patients (p=0.214). 90-day hospital admission rates for early (7/178, 3.9%) and later (4/165, 2.4%) did not differ (p=0.545) Conclusions: Using modern perioperative protocols and with appropriate patient selection, early discharge following aseptic rTJA does not increase 90-day readmissions or ED visits. As hospital inpatient capacity remains limited due to COVID-19, select rTJA patients may discharge home the same or next day to preserve hospital beds and resources for more critical medically related illness.