Factors influencing length of stay following primary total knee replacement in a UK specialist orthopaedic centre.
Knee
; 20(5): 310-5, 2013 Oct.
Article
en En
| MEDLINE
| ID: mdl-22910196
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Electivos
/
Artroplastia de Reemplazo de Rodilla
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Tiempo de Internación
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Knee
Asunto de la revista:
ORTOPEDIA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Reino Unido
Pais de publicación:
Países Bajos