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Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from t...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584853/ https://www.ncbi.nlm.nih.gov/pubmed/34768573 http://dx.doi.org/10.3390/jcm10215053 |
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author | Papalia, Rocco Zampogna, Biagio Torre, Guglielmo Papalia, Giuseppe Francesco Vorini, Ferruccio Bravi, Marco Albo, Erika De Vincentis, Antonio Denaro, Vincenzo |
author_facet | Papalia, Rocco Zampogna, Biagio Torre, Guglielmo Papalia, Giuseppe Francesco Vorini, Ferruccio Bravi, Marco Albo, Erika De Vincentis, Antonio Denaro, Vincenzo |
author_sort | Papalia, Rocco |
collection | PubMed |
description | The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from the beginning of 2016 to the end of 2018 were retrospectively screened. Demographics, comorbidities, whole blood count, intraoperative details, and length of postoperative stay were retrieved. The association between clinical, laboratory and surgical factors and the length of hospital stay was explored by means of negative binomial and logistic regression models. The median length of postoperative hospital stay was four days (Inter Quartile Range, IQR 3, 5). After univariate regression a stepwise multivariate regression showed that operative time (p = 0.001), the preoperative serum creatinine (p < 0.001), the intraoperative blood loss (p = 0.04) and the use of an anterolateral approach (p < 0.001) were found to correlate significantly with the increase of the hospitalization length, while no significant correlation was found for all the other features. Multivariable model fitted through logistic regression (LOS below or over the median value of four days) had an Area Under the Curve (AUC) of 0.748. Our analysis suggests a significant role played by different preoperative and perioperative variables in influencing the length of hospital stay. |
format | Online Article Text |
id | pubmed-8584853 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85848532021-11-12 Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases Papalia, Rocco Zampogna, Biagio Torre, Guglielmo Papalia, Giuseppe Francesco Vorini, Ferruccio Bravi, Marco Albo, Erika De Vincentis, Antonio Denaro, Vincenzo J Clin Med Article The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from the beginning of 2016 to the end of 2018 were retrospectively screened. Demographics, comorbidities, whole blood count, intraoperative details, and length of postoperative stay were retrieved. The association between clinical, laboratory and surgical factors and the length of hospital stay was explored by means of negative binomial and logistic regression models. The median length of postoperative hospital stay was four days (Inter Quartile Range, IQR 3, 5). After univariate regression a stepwise multivariate regression showed that operative time (p = 0.001), the preoperative serum creatinine (p < 0.001), the intraoperative blood loss (p = 0.04) and the use of an anterolateral approach (p < 0.001) were found to correlate significantly with the increase of the hospitalization length, while no significant correlation was found for all the other features. Multivariable model fitted through logistic regression (LOS below or over the median value of four days) had an Area Under the Curve (AUC) of 0.748. Our analysis suggests a significant role played by different preoperative and perioperative variables in influencing the length of hospital stay. MDPI 2021-10-28 /pmc/articles/PMC8584853/ /pubmed/34768573 http://dx.doi.org/10.3390/jcm10215053 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Papalia, Rocco Zampogna, Biagio Torre, Guglielmo Papalia, Giuseppe Francesco Vorini, Ferruccio Bravi, Marco Albo, Erika De Vincentis, Antonio Denaro, Vincenzo Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title | Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title_full | Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title_fullStr | Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title_full_unstemmed | Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title_short | Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases |
title_sort | preoperative and perioperative predictors of length of hospital stay after primary total hip arthroplasty—our experience on 743 cases |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584853/ https://www.ncbi.nlm.nih.gov/pubmed/34768573 http://dx.doi.org/10.3390/jcm10215053 |
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