Document Detail


Length of stay following primary total hip replacement.
MedLine Citation:
PMID:  19558767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Much of the cost of primary total hip arthroplasty (THA) comprises the length of stay in hospital. Given the increasing drive for cost-effective surgery in today's National Health Service, the aim of this investigation was to determine the patient and surgical factors that most influence the length of stay following surgery.
PATIENTS AND METHODS: A large, population-based study of 675 consecutive patients in a regional orthopaedic centre in the South West of Britain.
RESULTS: The median length of stay was 8 days. The majority of patients (81.5%) left hospital within 2 weeks, 13.6% within 2-4 weeks and 4.9% after 4 weeks. On multivariate analysis, age above 70 years, ASA grades 3 and 4, prolonged operations and long incisions were highly significantly associated with hospital stay of over 2 weeks.
CONCLUSIONS: Prolonged stay after THA is largely predetermined by case mix and this should be taken into account when units are compared for performance and in the remuneration they receive for providing this service. Slick surgery through limited incisions may reduce the length of stay.
Authors:
Julian Foote; Kirby Panchoo; Peter Blair; Gordon Bannister
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Publication Detail:
Type:  Journal Article     Date:  2009-06-25
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  91     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-02     Completed Date:  2009-10-21     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  500-4     Citation Subset:  IM    
Affiliation:
Registrar in Trauma and Orthopaedics, The Avon Orthopaedic Centre, Southmead Hospital, Southmead Road, Bristol BS10 5NB, UK. julian.foote@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip* / methods,  rehabilitation
England
Female
Humans
Length of Stay*
Male
Middle Aged
Multivariate Analysis
Prospective Studies
Risk Factors
State Medicine
Time Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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