Format

Send to

Choose Destination
Surg Technol Int. 2017 Oct 12;31:197-200.

Patient Factors Associated with Shorter Length of Stay Following Total Hip Arthroplasty-A Retrospective Cohort Study.

Author information

1
NHS Lothian, Edinburgh, United Kingdom.
2
Trauma & Orthopaedics, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
3
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, United Kingdom.

Abstract

INTRODUCTION:

Total hip arthroplasty (THA) is an increasingly common procedure in the United Kingdom and incurs vast costs, with a mean length of stay (LOS) of 5.5 days. Reducing LOS plays a key role in improving cost-effectiveness, morbidity, and patient satisfaction following many orthopaedic procedures. The aim of this study was to identify attributes in patients with the shortest LOS following THA, with a view to targeting those with the potential for early discharge.

MATERIALS AND METHODS:

1280 THA cases over one year at one institution were reviewed in a retrospective case note study. Of these, 131 patients had LOS=2 days. Various factors (age, gender, American Society of Anesthesiologists (ASA) score, primary diagnosis, body mass index (BMI), socio-economic status) were compared between this group and the rest of the cohort. Further characteristics of the short LOS group were also explored to identify trends for future study.

RESULTS:

Lower age, male gender, and low ASA grade were significantly associated with the short LOS group (all p<0.001). BMI, primary diagnosis, and socioeconomic status showed no significant differences. Short LOS patients were also noted to have few comorbidities, family at home, and independent transport.

CONCLUSION:

Younger age, male gender, and lower ASA grade are associated with early discharge following THA, and could be used to identify patients suitable for early discharge.

PMID:
29020708
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Universal Medical Press
Loading ...
Support Center