Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Dokumenter
- Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty
Forlagets udgivne version, 99,8 KB, PDF-dokument
INTRODUCTION: 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.
METHODS: 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.
RESULTS: 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 LOS > 4 days decreased from 9.6% to 4.4%. Still, 90-day readmissions remained stable throughout the period at ≈ 8%.
CONCLUSIONS: 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.
FUNDING: The study was supported by an unconditional PhD grant from Lundbeckfonden to PBP (R230-2017-166).
TRIAL REGISTRATION: The study was registered with ClinicalTrials.gov (NCT01515670).
Originalsprog | Engelsk |
---|---|
Artikelnummer | A5553 |
Tidsskrift | Danish Medical Journal |
Vol/bind | 66 |
Udgave nummer | 7 |
Antal sider | 4 |
ISSN | 1603-9629 |
Status | Udgivet - 2019 |
Bibliografisk note
Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
Links
Antal downloads er baseret på statistik fra Google Scholar og www.ku.dk
ID: 236013332