| Length of stay following primary total hip replacement. | |
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MedLine Citation:
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PMID: 19558767 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Julian Foote; Kirby Panchoo; Peter Blair; Gordon Bannister |
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Publication Detail:
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Type: Journal Article Date: 2009-06-25 |
Journal Detail:
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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:
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Created Date: 2009-09-02 Completed Date: 2009-10-21 Revised Date: 2010-11-22 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 500-4 Citation Subset: IM |
Affiliation:
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Registrar in Trauma and Orthopaedics, The Avon Orthopaedic Centre, Southmead Hospital, Southmead Road, Bristol BS10 5NB, UK. julian.foote@btinternet.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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