Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Acta Orthop. 2011 Feb;82(1):20-6. doi: 10.3109/17453674.2010.533930. Epub 2010 Nov 11.

The effect of hospital volume on length of stay, re-admissions, and complications of total hip arthroplasty.

Author information

  • 1Department of Orthopaedics and Traumatology, Turku University Central Hospital, Finland. keijo.makela@tyks.fi

Abstract

BACKGROUND AND PURPOSE:

Hospital volume has been suggested to be one of the best indicators of adverse orthopedic events in patients undergoing THR surgery. We therefore evaluated the effect of hospital volume on the length of stay, re-admissions, and complications of THR at the population level in Finland.

METHODS:

30,266 THRs performed for primary osteoarthritis were identified from the Hospital Discharge Register. Hospitals were classified into 4 groups according to the number of THRs performed on an annual basis over the whole study period: 1-50 (group 1), 51-150 (group 2), 151-300 (group 3), and > 300 (group 4).

RESULTS:

In 2005, the length of the period of surgical treatment was 5.5 days in group 4 and 6.8 days in group 1 (the reference group). During the whole study period (1998-2005), the length of surgical treatment period was shorter in group 4 than in group 1 (p < 0.001). The odds ratio for dislocations (0.7, 95% CI: 0.6-0.9) was lower in group 3 than in group 1.

INTERPRETATION:

Hip replacements performed in high-volume hospitals reduce costs by shortening the length of stay, and they may reduce the dislocation rate.

PMID:
21067430
[PubMed - indexed for MEDLINE]
PMCID:
PMC3229993
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Informa Healthcare Icon for PubMed Central
    Loading ...
    Write to the Help Desk