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. 2013 Oct;84(5):444-7.
doi: 10.3109/17453674.2013.838657. Epub 2013 Sep 16.

Reduced length of hospital stay after the introduction of a rapid recovery protocol for primary THA procedures

Yvon M den Hartog  1 , Nina M C Mathijssen, Stephan B W Vehmeijer
Affiliations

Reduced length of hospital stay after the introduction of a rapid recovery protocol for primary THA procedures

Yvon M den Hartog et al. Acta Orthop. 2013 Oct.

Abstract

Background and purpose: Rapid recovery protocols after total hip arthroplasty (THA) have been introduced worldwide in the last few years and they have reduced the length of hospital stay. We show the results of the introduction of a rapid recovery protocol for primary THA for unselected patients in our large teaching hospital.

Patients and methods: In a retrospective cohort study, we included all 1,180 patients who underwent a primary THA between July 1, 2008 and June 30, 2012. These patients were divided into 3 groups: patients operated before, during, and after the introduction of the rapid recovery protocol. There were no exclusion criteria. All complications, re-admissions, and reoperations were registered and analyzed.

Results: The mean length of hospital stay decreased from 4.6 to 2.9 nights after the introduction of the rapid recovery protocol. There were no statistically significant differences in the rate of complications, re-admissions, or reoperations between the 3 groups.

Interpretation: In a large teaching hospital, the length of hospital stay decreased after introduction of our protocol for rapid recovery after THA in unselected patients, without any increase in complications, re-admissions, or reoperation rate.

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Figures

None
Percentage nights in hospital after primary THA for the 3 groups.
See this image and copyright information in PMC

References

    1. Barbieri A, Vanhaecht K, Van Herck P, Sermeus W, Faggiano F, Marchisio S, Panella M. Effects of clinical pathways in the joint replacement: a meta-analysis . BMC Med. 2009;7:32. - PMC - PubMed
    1. Berger RA, Sanders SA, Thill ES, Sporer SM, Della Valle C. Newer anesthesia and rehabilitation protocols enable outpatient hip repl... . Clin Orthop. 2009;6(467):1424–30. - PMC - PubMed
    1. Cullen C, Johnson DS, Cook G. Re-admission rates within 28 days of total hip replacement . Ann R Coll Surg Engl. 2006;88(5):475–8. - PMC - PubMed
    1. Dowsey MM, Kilgour ML, Santamaria NM, Choong PF. Clinical pathways in hip and knee arthroplasty: a prospective randomised... . Med J Aust. 1999;170(2):59–62. - PubMed
    1. Husted H, Holm G. Fast track in total hip and knee arthroplasty--experiences from Hvidovre... . Denmark. Injury (Suppl 5) 2006;37:S31–5. - PubMed

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