title: Intensive care monitoring after total joint replacement.
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.
authors.affiliation: University of Pennsylvania, Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.
authors.forename: A F
authors.initials: AF
authors.lastname: Kamath
authors.forename: C L
authors.initials: CL
authors.lastname: McAuliffe
authors.forename: J T
authors.initials: JT
authors.lastname: Gutsche
authors.forename: L M
authors.initials: LM
authors.lastname: Kosseim
authors.forename: E L
authors.initials: EL
authors.lastname: Hume
authors.forename: K D
authors.initials: KD
authors.lastname: Baldwin
authors.forename: Z
authors.initials: Z
authors.lastname: Kornfield
authors.forename: C L
authors.initials: CL
authors.lastname: Israelite
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement; D019645:Arthroplasty, Replacement, Knee; D003363:Cost Control; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D011183:Postoperative Complications / Q000517:prevention & control*; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome; D014218:Triage
keywords: total joint replacement; patient safety; intensive care unit; unplanned admission; risk stratification; complications