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24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program

Background and purpose — The length of stay after total hip arthroplasty has been reduced to 2–4 days after implementing fast-track surgery. We investigated whether a new time-based patient-centered primary direct anterior approach (DAA) total hip arthroplasty (THA) treatment protocol in a specializ...

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Autores principales: Van Den Eeden, Yannick N T, De Turck, Bruno J G, Van Den Eeden, Frank M C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Hip
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251260/
https://www.ncbi.nlm.nih.gov/pubmed/27658640
http://dx.doi.org/10.1080/17453674.2016.1236229
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author Van Den Eeden, Yannick N T
De Turck, Bruno J G
Van Den Eeden, Frank M C
author_facet Van Den Eeden, Yannick N T
De Turck, Bruno J G
Van Den Eeden, Frank M C
author_sort Van Den Eeden, Yannick N T
collection PubMed
description Background and purpose — The length of stay after total hip arthroplasty has been reduced to 2–4 days after implementing fast-track surgery. We investigated whether a new time-based patient-centered primary direct anterior approach (DAA) total hip arthroplasty (THA) treatment protocol in a specialized clinic, with a planned length of stay of about 24 hours, could be achieved in all patients or only in a selected group of patients. Patients and methods — We analyzed prospectively collected data in a cohort of 378 consecutive patients who underwent a primary direct anterior THA as a patient-centered time-based procedure between March 1, 2012 and December 31, 2015. Patients with complicated medical comorbidity and those over the age of 85 were excluded from the study. The average length of stay was recorded and all complications, re-admissions, and reoperations were registered and analyzed. The primary outcome measures were length of stay and complication rate, at discharge and 90 days postoperatively. Results — The average length of stay for all patients was 26 hours. All patients were discharged from the clinic on the day after the operation and were able to continue their recovery at home or in a rehabilitation facility. The overall complication rate within 3 months of surgery was 6%. The 3-month re-admission rate and the 3-month reoperation rate were both 2%. Interpretation — Performing a time-based, patient-centered fast-track program for DAA total hip arthroplasty can result in a standardized length of stay of about 24 hours and a high level of patient satisfaction with few complications, re-admissions, and reoperations.
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spelling pubmed-52512602017-02-04 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program Van Den Eeden, Yannick N T De Turck, Bruno J G Van Den Eeden, Frank M C Acta Orthop Hip Background and purpose — The length of stay after total hip arthroplasty has been reduced to 2–4 days after implementing fast-track surgery. We investigated whether a new time-based patient-centered primary direct anterior approach (DAA) total hip arthroplasty (THA) treatment protocol in a specialized clinic, with a planned length of stay of about 24 hours, could be achieved in all patients or only in a selected group of patients. Patients and methods — We analyzed prospectively collected data in a cohort of 378 consecutive patients who underwent a primary direct anterior THA as a patient-centered time-based procedure between March 1, 2012 and December 31, 2015. Patients with complicated medical comorbidity and those over the age of 85 were excluded from the study. The average length of stay was recorded and all complications, re-admissions, and reoperations were registered and analyzed. The primary outcome measures were length of stay and complication rate, at discharge and 90 days postoperatively. Results — The average length of stay for all patients was 26 hours. All patients were discharged from the clinic on the day after the operation and were able to continue their recovery at home or in a rehabilitation facility. The overall complication rate within 3 months of surgery was 6%. The 3-month re-admission rate and the 3-month reoperation rate were both 2%. Interpretation — Performing a time-based, patient-centered fast-track program for DAA total hip arthroplasty can result in a standardized length of stay of about 24 hours and a high level of patient satisfaction with few complications, re-admissions, and reoperations. Taylor & Francis 2017-02 2016-09-22 /pmc/articles/PMC5251260/ /pubmed/27658640 http://dx.doi.org/10.1080/17453674.2016.1236229 Text en © 2016 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. https://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0)
spellingShingle Hip
Van Den Eeden, Yannick N T
De Turck, Bruno J G
Van Den Eeden, Frank M C
24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title_full 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title_fullStr 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title_full_unstemmed 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title_short 24 hours stay after hip replacement: Implementation of a patient-centered time-based fast-track program
title_sort 24 hours stay after hip replacement: implementation of a patient-centered time-based fast-track program
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251260/
https://www.ncbi.nlm.nih.gov/pubmed/27658640
http://dx.doi.org/10.1080/17453674.2016.1236229
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