| Autor: |
Pelle Baggesgaard Petersen, Christoffer Calov Jørgensen, Henrik Kehlet, Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
University of Copenhagen |
| ISSN: |
2245-1919 |
| Popis: |
Implementation of fast-track protocols in total hip and knee arthroplasty (THA/TKA) has dramatically changed the perioperative care, leading to a subsequent reduction in post-operative length of stay (LOS) and mor-bidity. Previous investigations in Denmark have shown a reduction in LOS from about ten days in 2000 to four days in 2009. We aimed to describe temporal changes in LOS and readmissions within the context of a continuous multicentre collaboration focusing on enhancing recovery and reducing morbidity after fast-track THA and TKA.We used an observational cohort design from nine Danish orthopaedic centres. All procedures were performed from January 2010 to August 2017. Data on LOS and 90-day readmissions were obtained from The Danish National Patient Registry. Cause of readmission and possible association with surgery were investigated using discharge summaries or health records.We included 36,608 procedures with a median age of 69 (range: 62-75) years of whom 58% were women. LOS decreased from a median of three (range: 2-3) days in 2010 to one (range: 1-2) days in 2017. The proportion of patients with LOS4 days decreased from 9.6% to 4.4%. Still, 90-day readmissions remained stable throughout the period at ≈ 8%.A reduction in both LOS and proportion of patients with prolonged LOS without an increase in readmission is possible within a multicentre collaboration aiming at enhancing recovery and reducing morbidity.The study was supported by an unconditional PhD grant from Lundbeckfonden to PBP (R230-2017-166).The study was registered with ClinicalTrials.gov (NCT01515670). |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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