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Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand

This study aims to explore the length of stay (LOS) of publicly funded osteoarthritic primary hip and knee replacement surgeries in New Zealand. Patients with osteoarthritis who underwent publicly funded primary hip and knee replacement surgery in 2005–2017 were included. We have identified 53,439 o...

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Autores principales: Lao, Chunhuan, Lees, David, Patel, Sandeep, White, Douglas, Lawrenson, Ross
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926716/
https://www.ncbi.nlm.nih.gov/pubmed/31795331
http://dx.doi.org/10.3390/ijerph16234789
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author Lao, Chunhuan
Lees, David
Patel, Sandeep
White, Douglas
Lawrenson, Ross
author_facet Lao, Chunhuan
Lees, David
Patel, Sandeep
White, Douglas
Lawrenson, Ross
author_sort Lao, Chunhuan
collection PubMed
description This study aims to explore the length of stay (LOS) of publicly funded osteoarthritic primary hip and knee replacement surgeries in New Zealand. Patients with osteoarthritis who underwent publicly funded primary hip and knee replacement surgery in 2005–2017 were included. We have identified 53,439 osteoarthritic primary hip replacements and 50,072 osteoarthritic primary knee replacements. LOS has been reduced by almost 40% over the last 13 years. Logistic regression showed that women, Māori, Pacific and Asian patients, older patients, people with more comorbidities and those having opiates on discharge and patients in earlier years were more likely to have extended LOS following hip replacements and knee replacements. Regional differences were noted in LOS between the Waitemata District Health Board (DHB) compared to Tairāwhiti DHB where patients were the most likely to have a LOS of more than 5 days after hip and knee replacements. LOS after hip and knee replacements has been reduced dramatically. Women, Māori, Pacific and Asian patients, older patients and people with more comorbidities are more likely to have extended LOS. Patients dispensed opiates on discharge had a longer LOS. There are great geographical variations in LOS for primary hip and knee surgeries in New Zealand.
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spelling pubmed-69267162019-12-24 Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand Lao, Chunhuan Lees, David Patel, Sandeep White, Douglas Lawrenson, Ross Int J Environ Res Public Health Article This study aims to explore the length of stay (LOS) of publicly funded osteoarthritic primary hip and knee replacement surgeries in New Zealand. Patients with osteoarthritis who underwent publicly funded primary hip and knee replacement surgery in 2005–2017 were included. We have identified 53,439 osteoarthritic primary hip replacements and 50,072 osteoarthritic primary knee replacements. LOS has been reduced by almost 40% over the last 13 years. Logistic regression showed that women, Māori, Pacific and Asian patients, older patients, people with more comorbidities and those having opiates on discharge and patients in earlier years were more likely to have extended LOS following hip replacements and knee replacements. Regional differences were noted in LOS between the Waitemata District Health Board (DHB) compared to Tairāwhiti DHB where patients were the most likely to have a LOS of more than 5 days after hip and knee replacements. LOS after hip and knee replacements has been reduced dramatically. Women, Māori, Pacific and Asian patients, older patients and people with more comorbidities are more likely to have extended LOS. Patients dispensed opiates on discharge had a longer LOS. There are great geographical variations in LOS for primary hip and knee surgeries in New Zealand. MDPI 2019-11-29 2019-12 /pmc/articles/PMC6926716/ /pubmed/31795331 http://dx.doi.org/10.3390/ijerph16234789 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lao, Chunhuan
Lees, David
Patel, Sandeep
White, Douglas
Lawrenson, Ross
Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title_full Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title_fullStr Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title_full_unstemmed Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title_short Length of Hospital Stay for Osteoarthritic Primary Hip and Knee Replacement Surgeries in New Zealand
title_sort length of hospital stay for osteoarthritic primary hip and knee replacement surgeries in new zealand
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926716/
https://www.ncbi.nlm.nih.gov/pubmed/31795331
http://dx.doi.org/10.3390/ijerph16234789
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