Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases

Papalia, Rocco; Zampogna, Biagio; Torre, Guglielmo; Papalia, Giuseppe Francesco; Vorini, Ferruccio; Bravi, Marco; Albo, Erika; Vincentis, Antonio De; Denaro, Vincenzo

doi:10.3390/jcm10215053

Cited by 16 publications

(8 citation statements)

References 38 publications

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“…ASA class and duration of surgery are indicators of the severity of surgical intervention and patient health status, and their associations with prolonged LOHS have been proven in previous studies. [39][40][41] In this study, we observed no significant relationship in terms of laboratory values with longer hospital stay. However, other reports have shown no direct evidence that elevated neutrophil counts are associated with poor prognosis.…”

Section: Discussioncontrasting

confidence: 67%

The Value of Preoperative Systemic Immune-Inflammation Index as a Predictor of Prolonged Hospital Stay in Orthopedic Surgery: A Retrospective Study

Alsabani,

Alotaibi,

Olayan

et al. 2023

IJGM

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Purpose Many risk factors, such as the duration of surgery and higher ASA scores, are associated with longer hospitalization in patients undergoing orthopedic surgery. However, no studies have evaluated the relationship between the preoperative systemic immune-inflammation index (SII) and length of hospital stay in orthopedic surgical patients. Therefore, this study aimed to investigate whether the SII is associated with the length of hospital stay in orthopedic surgery in adults. Patients and Methods This was a retrospective cohort study, and data were extracted from electronic health records. Patients were included if they were older than 18 years and had undergone orthopedic surgery between [2016–2021]. The patients were divided into two groups according to the median duration of hospitalization and according to SII cut-off value (high-SII group: ≥799.86, low-SII group: <799.86). Univariate and multivariate linear regression analyses were used to identify the association between SII and length of hospitalization. Results A total of 196 patients who underwent orthopedic surgery were included, and 62 were hospitalized for >21 days. There were significant differences in terms of ASA score ( P = 0.041). Patients who required a longer hospitalization of >21 days had significantly lower hemoglobin level ( P < 0.001), higher duration of surgery ( P = 0.015), and increased requirement of ICU admission ( P < 0.001). The optimal cut-off value for preoperative SII of 799.86 stratified the patients into high-SII and low-SII groups. Patients in high-SII group had higher median LOHS (22 days) compared to low-SII group (17 days; P = 0.006). In the multivariable linear regression analysis, the SII was significantly related to the length of hospital stay (β = 0.246, 95% confidence interval [CI] 0.000–0.005, P = 0.031). Conclusion A high-SII value is associated with an increased risk of longer hospitalization after orthopedic surgery.

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Section: Discussioncontrasting

confidence: 67%

The Value of Preoperative Systemic Immune-Inflammation Index as a Predictor of Prolonged Hospital Stay in Orthopedic Surgery: A Retrospective Study

Alsabani,

Alotaibi,

Olayan

et al. 2023

IJGM

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“…IOPFF occurrence entailed a slight increase in the average LOS in comparison to that reported for primary THAs in the previous literature (5.81 vs. 4.00 days) [24]. Regardless, it is important to note that the calculation of LOS varies depending on the time of patients' admission (whether it is the night before the intervention or on the same day).…”

Section: Discussionmentioning

confidence: 73%

Results of Utilizing Cerclage Wires in the Management of Intraoperative Vancouver B1 Fractures in Primary Total Hip Arthroplasties: A Retrospective Cohort Investigation into Clinical and Radiographic Outcomes

Rocchi,

Di Matteo,

Chiappetta

et al. 2024

JCM

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Background: Due to an increase in total hip arthroplasties (THAs), the incidence of periprosthetic hip fractures (PPHFs) is forecast to rise considerably in the next decades, with Vancouver B1 fractures (VB1) accounting for one third of total cases. Femur fixation with cerclages (with or without screws) is considered the current treatment option for intraoperative VB1. Methods: The study retrospectively includes data from patients who developed VB1 PPHFs during THAs from 3 December 2020 to 30 November 2022. The primary outcome of this study was to identify the reintervention-free survival rate. The secondary aim was to determine clinical and radiographic assessment at follow-up, based on Harris hip score (HHS) and limb length discrepancy (LLD). Results: Thirty-seven patients with a mean age of 60.03 ± 15.49 (22 to 77) years old were included. Overall, the Kaplan–Meier analysis estimated a reoperation-free survival rate of 99% (CI 95%) at 6 months. The mean limb length discrepancy (LLD) improved from −3.69 ± 6.07 (range −27.9 to 2.08) mm to 0.10 ± 0.67 (range −1.07 to 1.20) mm. The mean HHS improved from 42.72 ± 14.37 (range 21.00–96.00) to 94.40 ± 10.32 (range 56.00–100.00). Conclusions: The employment of cerclage wires represents an effective strategy for handling intraoperative VB1 fractures. Level III retrospective cohort study.

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“…This study investigated the gait characteristics of patients who underwent THA one week after surgery, using EFA. Due to the increasing number of THA cases and escalating healthcare expenses, there is a pressing need to efficiently manage the process to enhance patient recovery, reduce complications, and shorten hospital stays [ 32 ]. In this context, clinical gait analysis can play a crucial role in identifying suitable candidates for early discharge and ensuring the quality of the recovery process.…”

Section: Discussionmentioning

confidence: 99%

Motion acquisition of gait characteristics one week after total hip arthroplasty: a factor analysis

Cattaneo,

Ghidotti,

Catellani

et al. 2024

Arch Orthop Trauma Surg

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Introduction Clinical gait analysis can be used to evaluate the recovery process of patients undergoing total hip arthroplasty (THA). The postoperative walking patterns of these patients can be significantly influenced by the choice of surgical approach, as each procedure alters distinct anatomical structures. The aim of this study is twofold. The first objective is to develop a gait model to describe the change in ambulation one week after THA. The secondary goal is to describe the differences associated with the surgical approach. Materials and methods Thirty-six patients undergoing THA with lateral (n = 9), anterior (n = 15), and posterior (n = 12) approaches were included in the study. Walking before and 7 days after surgery was recorded using a markerless motion capture system. Exploratory Factor Analysis (EFA), a data reduction technique, condensed 21 spatiotemporal gait parameters to a smaller set of dominant variables. The EFA-derived gait domains were utilized to study post-surgical gait variations and to compare the post-surgical gait among the three groups. Results Four distinct gait domains were identified. The most pronounced variation one week after surgery is in the Rhythm (gait cycle time: $$+32.9\mathrm{\%}$$ + 32.9 % ), followed by Postural control (step width: $$+27.0\mathrm{\%}$$ + 27.0 % ), Phases (stance time: $$+11.0\%$$ + 11.0 % ), and Pace (stride length: − $$9.3\%$$ 9.3 % ). In postsurgical walking, Phases is statistically significantly different in patients operated with the posterior approach compared to lateral (p-value = 0.017) and anterior (p-value = 0.002) approaches. Furthermore, stance time in the posterior approach group is significantly lower than in healthy individuals (p-value < 0.001). Conclusions This study identified a four-component gait model specific to THA patients. The results showed that patients after THA have longer stride time but shorter stride length, wider base of support, and longer stance time, although the posterior group had a statistically significant shorter stance time than the others. The findings of this research have the potential to simplify the reporting of gait outcomes, reduce redundancy, and inform targeted interventions in regards to specific gait domains.

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Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases

Cited by 16 publications

References 38 publications

The Value of Preoperative Systemic Immune-Inflammation Index as a Predictor of Prolonged Hospital Stay in Orthopedic Surgery: A Retrospective Study

The Value of Preoperative Systemic Immune-Inflammation Index as a Predictor of Prolonged Hospital Stay in Orthopedic Surgery: A Retrospective Study

Results of Utilizing Cerclage Wires in the Management of Intraoperative Vancouver B1 Fractures in Primary Total Hip Arthroplasties: A Retrospective Cohort Investigation into Clinical and Radiographic Outcomes

Motion acquisition of gait characteristics one week after total hip arthroplasty: a factor analysis

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