Factors associated with hospital stay length, discharge destination, and 30-day readmission rate after primary hip or knee arthroplasty: Retrospective Cohort Study

Roger, Corentin; Debuyzer, Emmanuel; Dehl, Massinissa; Bulaïd, Yassine; Lamrani, Adnane; Havet, É.; Mertl, P.

doi:10.1016/j.otsr.2019.04.012

Cited by 102 publications

(75 citation statements)

References 28 publications

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“…These findings coincide with other studies which have shown similar results and correlate this increase in LOS to the fact that these patients are more at risk for complications. 27,28 When examining the factors which effect subsidence in elective primary DAA THA, we found that increasing age is related to increased stem subsidence. Published results on stem subsidence following cementless THA vary greatly with an average range of subsidence between 0.45 and 2.23 mm.…”

Section: Discussionmentioning

confidence: 91%

“…26 Other studies corroborate these finding and have shown that obesity and being male leads to longer LOS and longer inpatient rehabilitation stays following TJA. 27,28 Higher ASA scores, which are associated with greater comorbidities, were also shown to lead to longer LOS (►Table 5). These findings coincide with other studies which have shown similar results and correlate this increase in LOS to the fact that these patients are more at risk for complications.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Age and Activity Level on Stem Subsidence in Total Hip Arthroplasty

Zak

Greenbaum

Singh

et al. 2020

The Journal of Hip Surgery

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The average length of hospital stay (LOS) following total hip arthroplasty (THA) is decreasing due to a variety of factors, including rapid patient mobilization. With increased early joint loading, certain populations, such as those with low systemic bone mineral density, may be at an increased risk for early stem instability. The purpose of this study was to determine whether activity level and patient age affect femoral stem stability and early subsidence. We retrospectively reviewed 821 patients who underwent primary cementless THA. Two cohorts were established based on LOS as a proxy for activity: (1) same calendar day discharge (SDD) and (2) multiple day stay (MDS). Descriptive patient characteristics as well as surgical and clinical data including surgical time, stem alignment, and Activity Measure for Post-Acute Care (AM-PAC) scores were collected. Stem subsidence was assessed by comparing immediate postoperative radiographs with follow-up radiographs taken no less than 3 months after surgery (9.79 ± 6.50 months). Our sample population consisted of 255 SDD (31%) and 566 MDS (69%) patients. Stem subsidence rate was significantly lower in the SDD than the MDS group (0.916 vs. 1.80 mm, p < 0.001). Increasing age was associated with a higher rate of stem subsidence (β = 0.823, p < 0.001). Increased LOS was also associated with increased age (odds ratio = 1.092, p < 0.001). Higher postoperative mobility determined by AM-PAC scores was not associated with shorter LOS (p = 0.630). The result of this study showed increased activity level does not increase rate of subsidence in THA patients, which supports the safety and efficacy of expedited recovery programs. Increased age was found to increase stem subsidence regardless of LOS.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The Effect of Age and Activity Level on Stem Subsidence in Total Hip Arthroplasty

Zak

Greenbaum

Singh

et al. 2020

The Journal of Hip Surgery

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“…It is possible that large registry cohorts assess rare adverse events better than trials [43,44]. The value of length of hospital stay as an outcome in acute pain trials is debatable because it is influenced by so many factors [45]. Patient-reported outcome measures are on the increase, but without consensus on which are most important in pain research [46].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of pain outcomes reported by randomised trials of hip and knee arthroplasty

et al. 2020

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Summary It is difficult to pool results from randomised clinical trials that report different outcomes. We want to develop a core set of pain‐related outcomes after total hip or knee arthroplasty, the first stage of which is to systematically review published outcomes. We searched PubMed, Embase and CENTRAL for relevant trials to January 2020. We identified 165 outcomes from 565 trials with 50,668 participants, which we categorised into six domains: pain; analgesic consumption; quality of care; adverse events; mobility; and patient‐reported outcome measures. The outcome in each domain reported by most trials was: visual analogue score for pain, 401 (71%); morphine consumption, 212 (38%); length of hospital stay, 166 (29%); nausea or vomiting, 425 (75%); range of motion, 173 (31%); and patient satisfaction score, 181 (32%). A primary outcome was reported in 281 (50%) trials: 101 (18%) trials reported consumption of rescue analgesics and 95 (17%) trials reported pain. We plan to publish a consensus on outcomes that should be reported in postoperative pain trials after hip or knee arthroplasty.

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“…However, there has been a controversy over whether obesity has impacts on total hip arthroplasty. We reviewed many literatures on the effects of obesity on total hip arthroplasty, their conclusions are not uniform or even contradictory, and they hold opposite views [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Obesity Affects Short-Term After Total Hip Arthroplasty: A Retrospective Study

Wang

Yang

Zhang

et al. 2021

Preprint

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Background: At present, there are many clinical studies on the impact of obesity on postoperative function following total hip arthroplasty, but their conclusions are different and even contradictory. As abdominal obesity (AO), which is closely related to obesity, we know very little about its impact on postoperative function following total hip arthroplasty.Methods: Sixty-four patients were included in this prospective randomized controlled trial. Divided them into AO group (WC ≥ 90 cm for men and ≥ 85 cm for women) and non-AO group (WC ≤ 90 cm for men and ≤ 85 cm for women). Preoperative assessment included numerical pain rating, the Oxford Hip Score, 6-minute walk test and repeated at 6,12 months postoperatively. Postoperative assessment included the anteversion and inclination of the acetabular prosthesis, satisfaction at 12 months.Results：The hip joint function of both groups has been significantly improved at 1 year postoperatively. No significant differences were found in hip pain or function between the AO and non-AO groups. However, AO patients had poorer walking capacity (p=0.001).Conclusion: AO does not increase the complications after THA, nor does it have a significant impact on the function after THA, but it seems to have a negative effect on the improvement of walking ability.

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Factors associated with hospital stay length, discharge destination, and 30-day readmission rate after primary hip or knee arthroplasty: Retrospective Cohort Study

Cited by 102 publications

References 28 publications

The Effect of Age and Activity Level on Stem Subsidence in Total Hip Arthroplasty

The Effect of Age and Activity Level on Stem Subsidence in Total Hip Arthroplasty

A systematic review of pain outcomes reported by randomised trials of hip and knee arthroplasty

Abdominal Obesity Affects Short-Term After Total Hip Arthroplasty: A Retrospective Study

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