Rapid recovery protocols for primary total hip arthroplasty can safely reduce length of stay without increasing readmissions

Journal of Arthroplasty

Volumn 30, Issue 4, 2015, Pages 521-526

  Stambough, Jeffrey B ^a   Nunley, Ryan M ^a   Curry, Madelyn C ^a   Steger May, Karen ^a   Clohisy, John C ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Length of stay; Perioperative protocols; Rapid recovery; Readmissions; THA

Indexed keywords

CYCLOOXYGENASE 2 INHIBITOR; NARCOTIC AGENT;

ABSCESS; ACUTE KIDNEY FAILURE; ADULT; AGED; ANALGESIA; ANEMIA; ARTICLE; CELLULITIS; CLINICAL PATHWAY; CLINICAL PROTOCOL; COLITIS; COMORBIDITY; CONVALESCENCE; DEMOGRAPHY; DISLOCATION; DYSPNEA; FEMALE; HEMATOMA; HIP PAIN; HOSPITAL READMISSION; HUMAN; INFECTION; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; PERIOPERATIVE PERIOD; RANGE OF MOTION; RETROSPECTIVE STUDY; SICKLE CELL CRISIS; THORAX PAIN; TOTAL HIP PROSTHESIS; WOUND DEHISCENCE; HIP REPLACEMENT; MIDDLE AGED; PATIENT SAFETY; REHABILITATION; STANDARDS; TREATMENT OUTCOME;

AGED; ARTHROPLASTY, REPLACEMENT, HIP; CLINICAL PROTOCOLS; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT READMISSION; PATIENT SAFETY; PERIOPERATIVE CARE; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 84928328745     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2015.01.023     Document Type: Article

References (31)

1. Bhattacharyya T., Mehta P., Freiberg A.A. Hospital characteristics associated with success in a pay-for-performance program in orthopaedic surgery. J Bone Joint Surg 2008, 90:1240.
2. Bini S.A., Fithian D.C., Paxton L.W., et al. Does discharge disposition after primary total joint arthroplasty affect readmission rates?. J Arthroplasty 2010, 25:114.
3. Bozic K.J., Maselli J., Pekow P.S., et al. The influence of procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery. J Bone Joint Surg Am 2010, 92:2643.
4. Crawford L.A., Hart W. Factors affecting length of stay following total joint replacement. J Bone Joint Surg (Br) 2008, 90-B:546.
5. Gandhi Sanjay, Salmon J.Warren, Kong Sheldon X., et al. Administrative databases and outcomes assessment: an overview of issues and potential utility. J Manag Care Pharm 1999, 5:215.
6. Husted H., Holm G., Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop 2008, 79:168.
7. Iezzoni L.I. Assessing quality using administrative data. Ann Intern Med 1997, 127:666.
8. Kaboli P.J., Go J.T., Hockenberry J., et al. Associations between reduced hospital length of stay and 30-day readmission rate and mortality: 14-year experience in 129 Veterans Affairs hospitals. Ann Intern Med 2012, 157:837.
9. Keeney J.A., Adelani M.A., Nunley R.M., et al. Assessing readmission databases: how reliable is the information?. J Arthroplasty 2012, 27:72-76.e1-2.
10. Kim S., Losina E., Solomon D.H., et al. Effectiveness of clinical pathways for total knee and total hip arthroplasty: literature review. J Arthroplasty 2003, 18:69.
11. Kocher R.P., Adashi E.Y. Hospital readmissions and the affordable care act: paying for coordinated quality care. JAMA 2011, 306:1794.
12. Kurtz S., Ong K., Lau E., et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007, 89:780.
13. Kurtz S.M., Lau E., Ong K., et al. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop 2009, 467:2606.
14. Larsen K., Hansen T.B., Thomsen P.B., et al. Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. J Bone Joint Surg Am 2009, 91:761.
15. Mahomed N.N., Koo Seen Lin M.J., Levesque J., et al. Determinants and outcomes of inpatient versus home based rehabilitation following elective hip and knee replacement. J Rheumatol 2000, 27:1753.
16. Merx H., Dreinhöfer K., Schräder P., et al. International variation in hip replacement rates. Ann Rheum Dis 2003, 62:222.
17. Miller D.C., Ye Z., Gust C., et al. Anticipating the effects of accountable care organizations for inpatient surgery. JAMA Surg 2013, 148:549.
18. Parvizi J., Mui A., Purtill J.J., et al. Total joint arthroplasty: when do fatal or near-fatal complications occur?. J Bone Joint Surg Am 2007, 89:27.
19. Peters C.L., Shirley B., Erickson J. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. J Arthroplasty 2006, 21:132.
20. Ramos N.L., Karia R.J., Hutzler L.H., et al. The effect of discharge disposition on 30-day readmission rates after total joint arthroplasty. J Arthroplasty 2014, 29:674.
21. Ravi B., Croxford R., Reichmann W.M., et al. The changing demographics of total joint arthroplasty recipients in the United States and Ontario from 2001 to 2007. Best Pract Res Clin Rheumatol 2012, 26:637.
22. Rissanen P., Aro S., Paavolainen P. Hospital- and patient-related characteristics determining length of hospital stay for hip and knee replacements. Int J Technol Assess Health Care 1996, 12:325.
23. Robbins C.E., Casey D., Bono J.V., et al. A multidisciplinary total hip arthroplasty protocol with accelerated postoperative rehabilitation: does the patient benefit?. Am J Orthop (Belle Mead NJ) 2014, 43:178.
24. Skyttä E.T., Jarkko L., Antti E., et al. Increasing incidence of hip arthroplasty for primary osteoarthritis in 30- to 59-year-old patients. Acta Orthop 2011, 82:1.
25. Styron J.F., Koroukian S.M., Klika A.K., et al. Patient vs provider characteristics impacting hospital lengths of stay after total knee or hip arthroplasty. J Arthroplasty 2011, 26. 1418-1426.e1-2.
26. Vingerhoeds B., Fick D., Middleton R., et al. A patient-centred pathway dramatically reduces length of stay and improves outcomes in primary joint replacement in a safe way. J Bone Joint Surg (Br) 2010, 92-B:500.
27. Vorhies J.S., Wang Y., Herndon J., et al. Readmission and length of stay after total hip arthroplasty in a national Medicare sample. J Arthroplasty 2011, 26:119.
28. Vorhies J.S., Wang Y., Herndon J.H., et al. Decreased length of stay after TKA is not associated with increased readmission rates in a national Medicare sample. Clin Orthop 2012, 470:166.
29. Walter F.L., Bass N., Bock G., et al. Success of clinical pathways for total joint arthroplasty in a community hospital. Clin Orthop 2007, 457:133.
30. Yoon R.S., Nellans K.W., Geller J.A., et al. Patient education before hip or knee arthroplasty lowers length of stay. J Arthroplasty 2010, 25:547.
31. Zmistowski B., Restrepo C., Hess J., et al. Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors. J Bone Joint Surg 2013, 95:1869.