Enhanced recovery program in total hip arthroplasty
| Autor: | William Thomas, Amitabh J Dwyer, Paul Porter, Payam Tarassoli |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
total hip arthroplasty business.industry Enhanced recovery program Surgery lcsh:RD701-811 length of stay lcsh:Orthopedic surgery Enhanced recovery Orthopedic surgery Perioperative care Cohort Medicine Original Article Orthopedics and Sports Medicine Preoperative hemoglobin business Hospital stay Total hip arthroplasty |
| Zdroj: | Indian Journal of Orthopaedics, Vol 46, Iss 4, Pp 407-412 (2012) Indian Journal of Orthopaedics |
| ISSN: | 1998-3727 0019-5413 |
| DOI: | 10.4103/0019-5413.98829 |
| Popis: | Background: Enhanced recovery program (ERP) was implemented to optimize the hospital stay in total hip arthroplasty. This study assessed the effects of optimizing preoperative and perioperative care using enhanced recovery (ER) on patients undergoing Total hip arthroplasty. Materials and Methods: We compared a prospective group of 64 patients on the ER program with a historic cohort of 63 patients that received conventional care (non ER). Results: ER patients were discharged earliest from hospital [mean length of stay (LOS) 5.3 days, median 4; P < 0.001] as compared to a mean of 8.3 days among non ER patients. Comparison based on American Association of Anesthesiologists (ASA) grades, preoperative hemoglobin, and body mass index (BMI) revealed that patients with ASA grade 3, preoperative hemoglobin of 30 on ER program spent shorter time in hospital as compared to the non ER′s conventionally treated patients with more favorable physiological parameters of ASA grade 1 and 2, preoperative hemoglobin of >14 g/dl, and BMI |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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