2014
DOI: 10.5301/hipint.5000100
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A Multidisciplinary Enhanced Recovery Programme Allows Discharge within Two days of Total Hip Replacement; Three- to Five-Year Results of 100 Patients

Abstract: We present three- to five- year results of 100 sequential patients undergoing total hip replacement (THR) through a multidisciplinary rapid recovery programme, with mean length of stay (LOS) 1.99 nights. Patients attend pre-admission 'bone school', with talks and assessments by the senior sister, physiotherapist and occupational therapist. All receive an uncemented Corail-Pinnacle THR via piriformis-sparing mini-posterior approach. 'Low dose' spinal plus light general anaesthesia provides sensory block whilst … Show more

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Cited by 21 publications
(17 citation statements)
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“…The most frequently reported measure was the American Society of Anesthesiologists physical classification system score, 42 reported in 12 of the 22 studies. 34 , 41 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 The strongest evidence supported increased LOS associated with perioperative risk factors. 21 , 34 , 41 , 43 , 44 , 45 , 46 , 48 , 51 , 53 , 54 , 55 , 56 , 57 , 58 …”
Section: Resultsmentioning
confidence: 98%
See 1 more Smart Citation
“…The most frequently reported measure was the American Society of Anesthesiologists physical classification system score, 42 reported in 12 of the 22 studies. 34 , 41 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 The strongest evidence supported increased LOS associated with perioperative risk factors. 21 , 34 , 41 , 43 , 44 , 45 , 46 , 48 , 51 , 53 , 54 , 55 , 56 , 57 , 58 …”
Section: Resultsmentioning
confidence: 98%
“…Lower socioeconomic status, 14 , 39 , 41 , 59 female sex, 21 , 34 , 35 , 36 , 38 , 39 , 40 , 41 , 43 , 45 , 46 , 48 , 53 , 60 , 61 , 62 , 63 and increased age 21 , 22 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 43 , 44 , 45 , 46 , 48 , 51 , 53 , 54 , 59 , 63 , 64 , 65 were also risk factors for longer LOS.…”
Section: Resultsmentioning
confidence: 99%
“…The LoS and patient discharge destination for our series of revisions was comparable with other series of primary joints, with similar Charlson indexes. 28 We acknowledge that there are limitations to this study. It is a retrospective observational study of small heterogenous cohorts, without a control group for comparison, and as such the impact of our statistical analysis is limited.…”
Section: Blood Managementmentioning
confidence: 93%
“…In the United Kingdom (UK), occupational therapy is a routine part of hip and knee replacement pathways (Dawson-Bowling et al., 2014; Wainwright and Middleton, 2010), Occupational therapists assess the individual needs of the patients and provide assistive devices to facilitate discharge and aid return to function at home. Due to the multi-modal nature of ERAS it can be difficult to have an understanding of the effects of occupational therapy and the provision of assistive devices within the ERAS protocol.…”
Section: Introductionmentioning
confidence: 99%