Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway.

Autor: Auyong DB; Virginia Mason Medical Center, Seattle, Washington., Allen CJ; Virginia Mason Medical Center, Seattle, Washington., Pahang JA; Virginia Mason Medical Center, Seattle, Washington., Clabeaux JJ; Virginia Mason Medical Center, Seattle, Washington., MacDonald KM; Virginia Mason Medical Center, Seattle, Washington., Hanson NA; Virginia Mason Medical Center, Seattle, Washington.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2015 Oct; Vol. 30 (10), pp. 1705-9. Date of Electronic Publication: 2015 May 12.
DOI: 10.1016/j.arth.2015.05.007
Abstrakt: Decreasing hospital length of stay may attenuate costs associated with total knee arthroplasty. The purpose of this study was to determine if updates to an existing orthopedic enhanced recovery after surgery (ERAS) pathway would improve length of hospitalization. Clinical and demographic data were collected on 252 primary total knee arthroplasties between January 2012 and July 2013. Pre-updated and post-updated ERAS pathway cohorts were analyzed for length of stay, clinical outcomes, and re-admissions. The mean length of stay decreased from 76.6 hours to 56.1 hours after implementation of the evidence-based orthopedic enhanced recovery after surgery pathway (P<0.001). This improvement was possible without a concomitant increase in readmission rates.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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