A designated three day elective orthopaedic surgery unit: First year’s results for hip and knee replacement patients

Autor:	Susan Liew, Lara A Kimmel, Claire Sage, Anne E Holland, Leonie B. Oldmeadow
Rok vydání:	2011
Předmět:	Advanced and Specialized Nursing Elective orthopaedic surgery medicine.medical_specialty business.industry medicine.medical_treatment Knee replacement Mean age Surgery Short stay Hip replacement medicine Orthopedics and Sports Medicine Observational study Complication business Early discharge
Zdroj:	International Journal of Orthopaedic and Trauma Nursing. 15:29-34
ISSN:	1878-1241
Popis:	Summary Background: A short stay elective centre was opened in 2007 at The Alfred in Melbourne, Australia. The objective was to safely discharge patients home on the third post-operative day. This prospective observational study reports the outcomes for hip and knee replacement patients during the first year of operation. Methods: Forty-seven patients (28 women and 19 men; mean age 65years) were eligible for the study. Data was collected at preadmission, discharge and 6months. Results: Thirty-four of 47 patients (72.3%) achieved discharge home within 3days. Mean length of stay for the whole group was 4.55days (95% CI3.78–5.33days). Patients who had medical complications were significantly more likely to stay longer than 3days ( p p =0.09). Six month re-admission rates were 6% for those with a 3day discharge and 15% for others. Conclusions: Preliminary findings suggest that a 3-day length of stay is possible for a defined group of patients, and can be achieved without increase in complication or re-admission rates. Failure to achieve Day 3 discharge is primarily related to medical complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::8736029ad32b375ea51a1c13625798c5 https://doi.org/10.1016/j.ijotn.2010.07.001 Zobrazit plný text záznamu Full Text from ScienceDirect