Article ID Journal Published Year Pages File Type
4060568 The Journal of Arthroplasty 2015 6 Pages PDF
Abstract

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.

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