Length of stay following primary total hip replacement.
Ann R Coll Surg Engl
; 91(6): 500-4, 2009 Sep.
Article
em En
| MEDLINE
| ID: mdl-19558767
ABSTRACT
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 ANDMETHODS:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Tempo de Internação
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Ann R Coll Surg Engl
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Reino Unido