Reduceret indlaeggelsesvarighed ved operation med hofte- og knaealloplastik uden brug af yderligere resurser
Engelsk titel: Reduced length of hospital stay after total hip and knee arthroplasty without increased utilization of other resources
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Författare:
Sonne-Holm S
;
Husted H
;
Holm G
Email: henrikhusted@dadlnet.dk
Språk: Dan
Antal referenser: 12
Dokumenttyp:
Artikel
UI-nummer: 04091075
Sammanfattning
Introduction: This study investigated the possibility of reducing the length of hospital stay (LOS) without expending extra resources for patients on whom total knee arthroplasty (TKA) and total hip arthroplasty (THA) was performed. The patients were told they would remain in hospital for a maximum of eight days, were placed in a special ward where they were treated and nursed by a specialised dedicated staff and were mobilised on the day of operation. Materials and methods: Ninety-six unselected consecutive patients on a waiting list were given TKA and THA. Patient characteristics were recorded and compared to those of a retrospective control group -matched by type of operation - operated on during the preceding year. The degree of satisfaction was measured in the waiting list group. Results: The groups were comparable. For patients given both TKA and THA, the median LOS was eight days for the waiting list group as opposed to 12 days for the control group. Using identical discharge criteria, 75% of patients in the waiting list group were discharged on or before the eighth day, compared to 7% in the waiting list group. Comparable numbers of complications were noted in the two groups. Patient satisfaction in the waiting list group was very high. Discussion: By focusing on a few simple factors, it is possible to reduce LOS by one third, from 12 to eight days, in patients given both TKA and THA without adding any further resources and with high patient satisfaction and no extra complications compared to the conventional LOS.