The Knee · 2012
Factors influencing length of stay following primary total knee replacement in a UK specialist orthopaedic centre.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jonas Sam C, Smith Hannah K, Blair Peter S, Dacombe Peter, Weale Adrian E
Аннотация
AIM: To identify factors significant in influencing LOS following primary TKA in a UK specialist arthroplasty centre.
METHOD: We retrospectively reviewed factors affecting LOS of 514 patients who underwent primary TKA in a single specialist arthroplasty centre in the UK over a one-year period. Surgical and patient factors that may influence LOS were recorded.
RESULTS: The median LOS was 5days. 85% were discharged within 10days. Those staying longer were classified as long stay (up to 3months). The only surgical factor that influenced length of stay was postoperative blood transfusion (p<0.0001). Females stayed longer as did those who lived in more deprived areas. These factors did not remain significant in multivariate analysis. The other most significant predictors at multivariate analysis were pre-operative patient factors such as poor anaesthetic fitness (ASA3 and ASA4) (p=0.001), BMI=30-35 (p=0.04), BMI>35 (p=0.009) and age>80 (p=0.01).
CONCLUSION: Length of stay is largely due to case mix and this should be considered when planning a local arthroplasty service.
LEVEL OF EVIDENCE: 2-II.
METHOD: We retrospectively reviewed factors affecting LOS of 514 patients who underwent primary TKA in a single specialist arthroplasty centre in the UK over a one-year period. Surgical and patient factors that may influence LOS were recorded.
RESULTS: The median LOS was 5days. 85% were discharged within 10days. Those staying longer were classified as long stay (up to 3months). The only surgical factor that influenced length of stay was postoperative blood transfusion (p<0.0001). Females stayed longer as did those who lived in more deprived areas. These factors did not remain significant in multivariate analysis. The other most significant predictors at multivariate analysis were pre-operative patient factors such as poor anaesthetic fitness (ASA3 and ASA4) (p=0.001), BMI=30-35 (p=0.04), BMI>35 (p=0.009) and age>80 (p=0.01).
CONCLUSION: Length of stay is largely due to case mix and this should be considered when planning a local arthroplasty service.
LEVEL OF EVIDENCE: 2-II.
Предметные рубрики MeSH
Academic Medical CentersAge FactorsAgedAged, 80 and overArthroplasty, Replacement, KneeBlood TransfusionCohort StudiesElective Surgical ProceduresFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedMultivariate AnalysisOrthopedicsPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk AssessmentSex FactorsTime FactorsTreatment OutcomeUnited Kingdom