Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway
Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway
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DOI：
10.1016/j.arth.2015.05.007
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发表时间：
2015-10-01
影响因子：
3.5
通讯作者：
Hanson, Neil A.
中科院分区：
文献类型：
--
作者：
Auyong, David B.;Allen, Cindy Jo;Hanson, Neil A.
减少住院时间可能会降低全膝关节置换术的相关费用。本研究的目的是确定更新现有的骨科术后增强恢复（ERAS）途径是否会改善住院时间。2012年1月至2013年7月收集了252例原发性全膝关节置换术的临床和人口统计数据。对更新前和更新后的ERAS路径队列进行住院时间、临床结果和再入院分析。实施循证骨科增强术后恢复路径后，平均住院时间由76.6小时降至56.1小时（P < 0.001）。这种改善是可能的，而不会伴随再入院率的增加。(C) 2015爱思唯尔公司版权所有。
Decreasing hospital length of stay may attenuate costs associated with total knee arthroplasty. The purpose of this study was to determine if updates to an existing orthopedic enhanced recovery after surgery (ERAS) pathway would improve length of hospitalization. Clinical and demographic data were collected on 252 primary total knee arthroplasties between January 2012 and July 2013. Pre-updated and post-updated ERAS pathway cohorts were analyzed for length of stay, clinical outcomes, and re-admissions. The mean length of stay decreased from 76.6 hours to 56.1 hours after implementation of the evidence-based orthopedic enhanced recovery after surgery pathway (P < 0.001). This improvement was possible without a concomitant increase in readmission rates. (C) 2015 Elsevier Inc. All rights reserved.