کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4060568 | 1603991 | 2015 | 6 صفحه PDF | دانلود رایگان |
We sought to investigate the impact of incremental perioperative recovery protocol changes on hospital LOS and readmission rates associated with primary THAs. A total of 1751 cases were assigned to one of four protocol cohorts across 13 years: traditional, enhanced pain management, early mobility, and rapid recovery (RR). LOS significantly decreased between sequential eras and by 52% between the traditional and RR pathways (IRR = 0.48; 95% CI 0.44, 0.53; P < 0.0001) without an overall increase in 30-day readmission rates (P = 0.13). The odds of readmission for THAs performed under the RR pathway were almost one-third those of the traditional era (OR = 0.36; 95% CI 0.14, 0.93; P = 0.04). Accelerated clinical care protocols should be considered for most patients undergoing primary THA.
Journal: The Journal of Arthroplasty - Volume 30, Issue 4, April 2015, Pages 521–526